Medicaid Provider Spending

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

PINELAKE REGIONAL HOSPITAL LLC

NPI: 1891892741 · MAYFIELD, KY 42066 · Pediatrics Physician · NPI assigned 09/20/2006

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

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

$43.34M
Total Medicaid Paid
916,998
Total Claims
636,551
Beneficiaries
284
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date09/20/2006

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
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
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC SOMERSET KY $15.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 139,360 $8.73M
2019 144,887 $7.33M
2020 129,901 $5.18M
2021 136,071 $5.45M
2022 129,761 $5.40M
2023 129,778 $6.03M
2024 107,240 $5.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,738 19,980 $5.80M
99283 Emergency department visit for the evaluation and management, moderate severity 33,816 27,681 $4.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,248 5,595 $3.01M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,885 2,936 $2.60M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,777 2,291 $2.14M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 4,978 4,597 $1.71M
70450 Computed tomography, head or brain; without contrast material 5,583 4,075 $1.47M
G0378 Hospital observation service, per hour 2,773 2,023 $1.44M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,490 2,486 $1.27M
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,860 9,707 $1.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,235 5,405 $888K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,473 6,908 $819K
96375 Therapeutic injection; each additional sequential IV push 5,833 4,619 $714K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 17,588 4,338 $580K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,329 12,185 $558K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,924 2,450 $527K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,746 4,152 $502K
96361 Intravenous infusion, hydration; each additional hour 18,036 5,322 $474K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,033 873 $460K
36415 Collection of venous blood by venipuncture 122,889 50,040 $424K
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,271 2,835 $408K
80053 Comprehensive metabolic panel 48,799 34,575 $399K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,229 1,998 $370K
73630 6,027 4,570 $360K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 48,766 38,714 $353K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,667 6,335 $333K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,093 4,897 $299K
72125 Computed tomography, cervical spine; without contrast material 845 675 $291K
59025 Fetal non-stress test 3,723 1,691 $268K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,460 2,720 $265K
73030 3,704 2,740 $258K
71045 Radiologic examination, chest; single view 12,965 8,087 $256K
73562 3,529 2,616 $240K
73610 3,270 2,603 $236K
71275 Computed tomographic angiography, chest, with contrast material 745 564 $233K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,913 1,498 $223K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,381 1,145 $216K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,567 7,022 $212K
73130 2,886 2,265 $193K
73110 2,325 1,806 $183K
71046 Radiologic examination, chest; 2 views 7,022 5,328 $181K
72131 626 447 $179K
97597 2,592 1,053 $172K
84443 Thyroid stimulating hormone (TSH) 12,519 11,551 $170K
76770 2,000 1,759 $162K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 11,016 2,737 $162K
72110 2,101 1,597 $153K
87486 5,947 4,683 $149K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,025 4,655 $146K
87581 4,967 4,603 $144K
71250 594 519 $137K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,800 2,981 $130K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 498 468 $130K
95886 1,925 1,802 $122K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,971 5,516 $121K
80061 Lipid panel 10,950 10,031 $114K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,155 1,016 $113K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,556 1,351 $111K
72050 1,054 789 $104K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,541 3,270 $103K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 218 179 $97K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,950 1,277 $94K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,157 468 $94K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 901 517 $93K
97162 1,748 1,453 $90K
74018 2,124 1,843 $88K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,565 3,252 $85K
83735 15,439 12,476 $80K
82805 1,735 1,287 $76K
81025 7,188 6,329 $71K
83036 Hemoglobin; glycosylated (A1C) 9,999 9,142 $68K
87086 Culture, bacterial; quantitative colony count, urine 9,093 7,803 $64K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,218 1,137 $63K
84484 6,185 4,806 $63K
97161 1,166 1,050 $61K
80081 996 931 $61K
83880 2,511 1,855 $60K
81003 12,472 10,351 $58K
81001 10,401 8,913 $57K
96376 1,106 755 $53K
82607 4,281 3,957 $51K
80048 Basic metabolic panel (calcium, ionized) 6,262 4,617 $45K
73564 550 437 $44K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 173 90 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,642 1,436 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 848 567 $41K
73080 514 397 $41K
77067 Screening mammography, bilateral, including computer-aided detection 1,877 1,789 $40K
87040 2,546 2,001 $39K
73502 2,387 1,708 $38K
J2704 Injection, propofol, 10 mg 8,833 7,793 $38K
83690 6,407 5,399 $37K
84439 4,950 4,608 $36K
93971 332 287 $35K
87186 3,917 3,376 $35K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,922 9,364 $35K
95911 381 314 $35K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,957 1,573 $35K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 97 65 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 86 68 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,159 1,051 $33K
84481 2,413 2,237 $32K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,121 1,021 $32K
82150 5,649 4,772 $32K
76700 Ultrasound, abdominal, real time with image documentation; complete 130 105 $32K
82962 5,224 2,784 $30K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,164 4,929 $30K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 181 168 $30K
87077 5,862 3,657 $29K
J7120 Ringers lactate infusion, up to 1000 cc 2,894 2,630 $29K
70486 80 75 $29K
J0690 Injection, cefazolin sodium, 500 mg 3,307 2,496 $28K
76536 213 185 $28K
85610 5,898 4,515 $27K
J7030 Infusion, normal saline solution , 1000 cc 2,693 2,052 $26K
83605 2,859 2,200 $26K
92526 783 237 $26K
93017 222 186 $25K
84145 1,444 1,024 $25K
86850 1,928 1,601 $23K
72114 393 308 $22K
85730 3,366 2,746 $22K
86696 1,402 1,335 $22K
86003 197 187 $21K
99215 Prolong outpt/office vis 335 311 $20K
73560 371 282 $19K
87070 2,915 1,848 $19K
97035 747 277 $19K
73590 258 202 $19K
74022 274 235 $19K
12001 97 90 $18K
85379 2,155 1,922 $18K
87205 2,005 1,626 $17K
86694 1,301 1,233 $17K
87088 2,694 2,385 $17K
82565 1,605 1,148 $17K
J3010 Injection, fentanyl citrate, 0.1 mg 5,642 4,846 $17K
84703 2,080 1,873 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,096 1,025 $17K
29125 162 152 $17K
87081 2,402 2,183 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,589 1,492 $16K
80074 410 382 $16K
87507 59 55 $16K
G0475 Hiv antigen/antibody, combination assay, screening 724 665 $16K
84702 1,156 766 $15K
72100 242 201 $15K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,584 942 $14K
82728 1,425 1,228 $14K
73090 191 159 $14K
86140 3,127 2,561 $14K
J0780 Injection, prochlorperazine, up to 10 mg 1,141 995 $13K
36600 1,792 968 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 380 275 $13K
73140 200 168 $13K
87634 204 186 $12K
90715 565 516 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,279 9,133 $12K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 572 487 $11K
83540 1,970 1,850 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 616 541 $11K
J2360 Injection, orphenadrine citrate, up to 60 mg 970 874 $10K
84403 500 466 $10K
77063 Screening digital breast tomosynthesis, bilateral 1,265 1,067 $9K
J2270 Injection, morphine sulfate, up to 10 mg 3,612 2,744 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,440 1,223 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,299 4,515 $9K
76830 Ultrasound, transvaginal 57 51 $9K
83550 1,177 1,098 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,219 4,561 $8K
80055 138 136 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 28 26 $7K
82550 1,500 1,307 $7K
78227 12 12 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,577 2,842 $7K
86900 2,522 1,814 $6K
J2175 Injection, meperidine hydrochloride, per 100 mg 1,510 1,291 $6K
J1170 Injection, hydromorphone, up to 4 mg 2,950 2,306 $6K
71101 155 92 $6K
92523 36 31 $6K
86039 607 566 $6K
85652 1,834 1,501 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 152 142 $6K
83970 165 157 $6K
72070 56 39 $5K
86901 2,158 1,788 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 35 35 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 4,441 3,962 $5K
84550 1,218 1,061 $5K
95909 101 74 $5K
82950 1,071 1,011 $4K
J2060 Injection, lorazepam, 2 mg 2,390 1,976 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg 426 352 $4K
76642 45 41 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 21 18 $4K
87807 265 253 $4K
J3480 Injection, potassium chloride, per 2 meq 235 103 $3K
72040 41 39 $3K
76870 14 12 $3K
J2785 Injection, regadenoson, 0.1 mg 33 33 $3K
J2550 Injection, promethazine hcl, up to 50 mg 2,350 1,976 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 161 146 $3K
82627 144 137 $3K
95910 31 26 $3K
84436 121 113 $3K
84146 147 132 $2K
J0500 Injection, dicyclomine hcl, up to 20 mg 61 57 $2K
82746 184 177 $2K
84402 111 104 $2K
J1815 Injection, insulin, per 5 units 194 105 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,765 1,535 $2K
J1596 Injection, glycopyrrolate, 0.1 mg 224 193 $2K
82105 133 123 $2K
84156 696 619 $2K
J3475 Injection, magnesium sulfate, per 500 mg 345 278 $2K
82570 493 429 $2K
87899 64 62 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg 93 80 $2K
82652 50 48 $2K
73060 17 12 $1K
84100 322 196 $1K
J3490 Unclassified drugs 620 460 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 191 129 $1K
87506 14 12 $1K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 13 13 $1K
83525 143 138 $1K
83001 81 77 $1K
87075 150 125 $1K
92587 21 18 $1K
80164 128 103 $1K
80069 107 90 $1K
86695 101 97 $1K
97012 28 12 $966.94
82670 47 43 $964.81
A9577 Injection, gadobenate dimeglumine (multihance), per ml 32 24 $946.11
93270 77 65 $925.83
74019 18 12 $848.10
J2919 Injection, methylprednisolone sodium succinate, 5 mg 184 171 $824.86
J7510 Prednisolone oral, per 5 mg 116 103 $751.40
J2805 Injection, sincalide, 5 micrograms 12 12 $712.92
82140 58 52 $693.46
83630 33 29 $678.67
86592 187 182 $675.50
87522 Neg quan hep c or qual rna 13 12 $634.94
82553 72 57 $624.50
86376 56 53 $591.79
71271 33 33 $581.69
86431 110 106 $479.84
82010 75 52 $424.22
83655 39 38 $415.77
J2765 Injection, metoclopramide hcl, up to 10 mg 144 133 $413.93
J3230 Injection, chlorpromazine hcl, up to 50 mg 29 25 $387.32
87045 33 32 $383.34
82947 110 102 $364.83
J0171 Injection, adrenalin, epinephrine, 0.1 mg 305 267 $343.44
84681 13 13 $330.32
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 204 63 $288.99
82043 64 59 $277.22
87210 56 49 $269.36
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 269 242 $254.66
84482 18 16 $231.36
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 89 12 $231.01
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 40 25 $229.49
83789 18 16 $222.03
J1040 Injection, methylprednisolone acetate, 80 mg 15 12 $205.29
J3360 Injection, diazepam, up to 5 mg 16 13 $188.17
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 15 12 $186.74
86800 14 14 $180.90
83002 12 12 $149.45
82575 36 26 $136.35
87177 14 13 $134.87
86787 13 12 $130.04
80076 13 12 $112.99
84630 15 13 $100.08
J1650 Injection, enoxaparin sodium, 10 mg 21 12 $94.92
85018 46 43 $86.53
86308 17 17 $74.14
82044 12 12 $70.41
J1171 Injection, hydromorphone, 0.1 mg 61 52 $60.94
J3410 Injection, hydroxyzine hcl, up to 25 mg 13 13 $55.21
85014 27 26 $54.26
Q0244 Injection, casirivimab and imdevimab, 1200 mg 129 120 $41.25
J7050 Infusion, normal saline solution, 250 cc 14 12 $36.12
A9270 Non-covered item or service 24 12 $0.00