Medicaid Provider Spending

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

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

NPI: 1861078685 · SOMERSET, KY 42503 · Family Medicine Physician · NPI assigned 03/22/2021

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

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

$216K
Total Medicaid Paid
33,757
Total Claims
26,901
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date03/22/2021

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
2018 155 $4K
2019 35 $1K
2020 202 $6K
2021 2,031 $19K
2022 4,760 $47K
2023 15,782 $69K
2024 10,792 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,506 3,562 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,424 1,833 $51K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 600 440 $11K
87400 1,012 471 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,736 1,170 $6K
87430 442 353 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 68 $5K
36415 Collection of venous blood by venipuncture 2,167 1,812 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 227 165 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 29 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 47 32 $74.56
G0008 Administration of influenza virus vaccine 19 13 $42.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 117 81 $30.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 47 41 $30.42
3077F 993 844 $0.00
1159F 2,903 2,376 $0.00
3078F 2,257 1,949 $0.00
1160F 2,902 2,376 $0.00
3725F 217 193 $0.00
1036F 2,964 2,209 $0.00
3075F 615 542 $0.00
3079F 1,231 1,069 $0.00
3074F 2,139 1,816 $0.00
3080F 153 119 $0.00
3008F 3,920 3,338 $0.00