Pinelake Physician Practice, LLC
Pinelake Physician Practice, LLC was paid $63K by Medicaid between Jul 2023 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
MAYFIELD, KY 42066
Next to other Rural Health Clinic/Center providers in Kentucky
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 6,429 | $20K | |
| 2024incomplete | 7,418 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 54% | 857 | 723 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,105 | 911 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.9% | 168 | 150 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.6% | 157 | 107 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 107 | 90 | $640.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 237 | 202 | $343.62 |
| 3074F | <1% | 1,371 | 1,164 | $3.57 | |
| 3078F | <1% | 1,049 | 899 | $2.32 | |
| 3079F | <1% | 739 | 634 | $1.94 | |
| 3075F | <1% | 291 | 257 | $0.66 | |
| 3080F | <1% | 79 | 64 | $0.22 | |
| 3077F | <1% | 71 | 57 | $0.21 |
6 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.