Medicaid Provider Spending

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

PINELAKE PHYSICIAN PRACTICE, LLC

NPI: 1861563439 · MAYFIELD, KY 42066 · Nurse Practitioner · NPI assigned 11/13/2006

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

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

$4.61M
Total Medicaid Paid
259,867
Total Claims
190,930
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date11/13/2006

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 36,204 $754K
2019 27,776 $662K
2020 27,542 $652K
2021 34,488 $895K
2022 41,850 $682K
2023 60,960 $557K
2024 31,047 $413K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,905 31,182 $976K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,495 17,204 $686K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,685 7,261 $433K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,322 3,271 $322K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,878 2,398 $253K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,436 1,128 $239K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,795 3,111 $200K
99232 Subsequent hospital care, per day, moderate complexity 12,976 2,974 $146K
99243 1,152 1,055 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,062 2,416 $85K
45380 Colonoscopy, flexible; with biopsy, single or multiple 763 583 $83K
20610 2,958 1,941 $71K
51741 1,991 1,608 $69K
99223 Prolong inpt eval add15 m 1,717 1,221 $62K
90460 Immunization administration through 18 years of age via any route, first or only component 1,797 1,544 $60K
99233 Prolong inpt eval add15 m 3,266 1,165 $58K
11721 7,305 5,483 $56K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 388 335 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 926 753 $50K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 923 791 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,156 1,403 $46K
95117 4,899 1,585 $39K
51798 4,020 3,296 $35K
90461 1,272 1,105 $32K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,210 1,235 $31K
99244 Office or other outpatient consultation, moderate to high complexity 205 190 $23K
J1030 Injection, methylprednisolone acetate, 40 mg 3,297 2,433 $20K
97597 1,323 530 $20K
99442 782 612 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 401 274 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 707 347 $19K
99205 Prolong outpt/office vis 232 211 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,445 2,936 $19K
99238 Hospital discharge day management, 30 minutes or less 596 477 $19K
93000 1,426 1,086 $13K
99406 1,917 1,201 $11K
59025 Fetal non-stress test 676 349 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 306 266 $11K
93016 669 556 $10K
99460 231 211 $9K
93458 48 41 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 945 412 $8K
93018 671 556 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 679 581 $7K
20550 186 131 $7K
99221 628 396 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 94 80 $6K
11750 149 76 $6K
99222 Initial hospital care, per day, moderate complexity 181 141 $6K
87428 119 115 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,345 1,066 $6K
99050 274 227 $6K
90961 202 117 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 100 70 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 544 405 $4K
99255 29 26 $4K
70450 Computed tomography, head or brain; without contrast material 202 177 $4K
36415 Collection of venous blood by venipuncture 948 738 $3K
99215 Prolong outpt/office vis 74 54 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 171 148 $3K
99383 42 30 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31 27 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 53 37 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 12 $2K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 14 12 $2K
90670 669 594 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 29 24 $2K
95115 848 174 $2K
81003 3,602 2,712 $2K
83655 178 142 $2K
99308 Subsequent nursing facility care, per day, straightforward 712 283 $1K
90962 32 24 $1K
99239 Hospital discharge day management, more than 30 minutes 32 25 $996.40
95024 16 12 $964.90
11100 40 28 $795.77
52000 20 13 $757.55
81025 123 114 $726.08
87430 130 125 $666.69
99307 427 309 $624.33
J1010 Injection, methylprednisolone acetate, 1 mg 151 106 $578.84
99152 78 73 $512.81
90723 477 423 $512.75
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 105 75 $501.67
99336 57 44 $439.10
81000 342 268 $401.20
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $359.35
87400 66 29 $329.98
85018 177 141 $289.36
90647 473 428 $256.18
99441 41 36 $252.20
90680 237 228 $236.88
J1040 Injection, methylprednisolone acetate, 80 mg 20 16 $211.49
90633 246 203 $185.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 444 351 $169.95
20605 31 12 $155.59
81002 235 165 $127.92
1036F 9,417 7,889 $103.13
97802 12 12 $82.17
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 21 18 $70.74
90686 75 57 $54.35
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 19 14 $31.11
3074F 8,554 7,440 $18.88
3078F 8,590 7,439 $18.43
3008F 14,984 12,911 $15.17
3079F 2,375 2,055 $5.96
1160F 11,302 9,525 $3.65
1159F 11,301 9,522 $3.64
3077F 1,147 1,021 $3.04
3075F 1,156 978 $2.68
3080F 576 513 $1.47
1034F 4,365 3,666 $0.83
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 136 102 $0.13
99334 42 29 $0.00
3725F 869 774 $0.00
90734 78 62 $0.00
90715 62 52 $0.00
90707 26 12 $0.00
T1015 Clinic visit/encounter, all-inclusive 44 27 $0.00
36416 160 126 $0.00
99024 2,805 2,213 $0.00
1125F 2,318 1,960 $0.00
1126F 2,046 1,884 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 57 26 $0.00
90716 26 12 $0.00