Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINELAKE PHYSICIAN PRACTICE, LLC

NPI: 1841900347 · MAYFIELD, KY 42066 · Rural Health Clinic/Center · NPI assigned 11/25/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$63K
Total Medicaid Paid
13,847
Total Claims
11,369
Beneficiaries
18
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (ASSISTANT CORPORATE SECRETARY)
NPI Enumeration Date11/25/2022

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 6,429 $20K
2024 7,418 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 857 723 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,105 911 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 168 150 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 157 107 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 107 90 $640.66
36415 Collection of venous blood by venipuncture 237 202 $343.62
3074F 1,371 1,164 $3.57
3078F 1,049 899 $2.32
3079F 739 634 $1.94
3075F 291 257 $0.66
3080F 79 64 $0.22
3077F 71 57 $0.21
1159F 1,207 970 $0.12
1160F 1,207 970 $0.12
3725F 782 669 $0.00
3008F 2,175 1,795 $0.00
1036F 1,569 1,179 $0.00
1034F 676 528 $0.00