Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Mayfield › NPI 1891892741
Physician

Pinelake Regional Hospital LLC

Pinelake Regional Hospital LLC was paid $43.34M by Medicaid between Jan 2018 and Dec 2024, across 284 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoPINELAKE REGIONAL HOSPITAL LLC
MAYFIELD, KY 42066
33aNPI1891892741assigned 09/20/2006
33bProvider typePediatrics Physician
28Total paid$43.34M
24GClaims916,998
24DCodes billed284
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#1 of 156
Median peer was paid$41K
This provider vs. median1,052×

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.

Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018139,360$8.73M
2019144,887$7.33M
2020129,901$5.18M
2021136,071$5.45M
2022129,761$5.40M
2023129,778$6.03M
2024incomplete107,240$5.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 24,738 19,980 $5.80M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 33,816 27,681 $4.61M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.9% 8,248 5,595 $3.01M
74176 Computed tomography, abdomen and pelvis; without contrast material 6.0% 3,885 2,936 $2.60M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.9% 2,777 2,291 $2.14M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3.9% 4,978 4,597 $1.71M
70450 Computed tomography, head or brain; without contrast material 3.4% 5,583 4,075 $1.47M
G0378 Hospital observation service, per hour 3.3% 2,773 2,023 $1.44M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.9% 3,490 2,486 $1.27M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.7% 10,860 9,707 $1.15M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.0% 21,235 5,405 $888K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 9,473 6,908 $819K
272 more codes
96375 Therapeutic injection; each additional sequential IV push 1.6% 5,833 $714K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.3% 17,588 $580K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 17,329 $558K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 4,924 $527K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.2% 4,746 $502K
96361 Intravenous infusion, hydration; each additional hour 1.1% 18,036 $474K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 1,033 $460K
36415 Collection of venous blood by venipuncture <1% 122,889 $424K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 8,271 $408K
80053 Comprehensive metabolic panel <1% 48,799 $399K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,229 $370K
73630 <1% 6,027 $360K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 48,766 $353K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,667 $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 <1% 6,093 $299K
72125 Computed tomography, cervical spine; without contrast material <1% 845 $291K
59025 Fetal non-stress test <1% 3,723 $268K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 7,460 $265K
73030 <1% 3,704 $258K
71045 Radiologic examination, chest; single view <1% 12,965 $256K
73562 <1% 3,529 $240K
73610 <1% 3,270 $236K
71275 Computed tomographic angiography, chest, with contrast material <1% 745 $233K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,913 $223K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,381 $216K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 8,567 $212K
73130 <1% 2,886 $193K
73110 <1% 2,325 $183K
71046 Radiologic examination, chest; 2 views <1% 7,022 $181K
72131 <1% 626 $179K
97597 <1% 2,592 $172K
84443 Thyroid stimulating hormone (TSH) <1% 12,519 $170K
76770 <1% 2,000 $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 <1% 11,016 $162K
72110 <1% 2,101 $153K
87486 <1% 5,947 $149K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 5,025 $146K
87581 <1% 4,967 $144K
71250 <1% 594 $137K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,800 $130K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 498 $130K
95886 <1% 1,925 $122K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,971 $121K
80061 Lipid panel <1% 10,950 $114K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,155 $113K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,556 $111K
72050 <1% 1,054 $104K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,541 $103K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 218 $97K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,950 $94K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,157 $94K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 901 $93K
97162 <1% 1,748 $90K
74018 <1% 2,124 $88K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,565 $85K
83735 <1% 15,439 $80K
82805 <1% 1,735 $76K
81025 <1% 7,188 $71K
83036 Hemoglobin; glycosylated (A1C) <1% 9,999 $68K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,093 $64K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,218 $63K
84484 <1% 6,185 $63K
97161 <1% 1,166 $61K
80081 <1% 996 $61K
83880 <1% 2,511 $60K
81003 <1% 12,472 $58K
81001 <1% 10,401 $57K
96376 <1% 1,106 $53K
82607 <1% 4,281 $51K
80048 Basic metabolic panel (calcium, ionized) <1% 6,262 $45K
73564 <1% 550 $44K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 173 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,642 $42K
99214 Doctor's office visit, returning patient (more involved) <1% 848 $41K
73080 <1% 514 $41K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,877 $40K
87040 <1% 2,546 $39K
73502 <1% 2,387 $38K
J2704 Injection, propofol, 10 mg <1% 8,833 $38K
83690 <1% 6,407 $37K
84439 <1% 4,950 $36K
93971 <1% 332 $35K
87186 <1% 3,917 $35K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,922 $35K
95911 <1% 381 $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% 1,957 $35K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 97 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 86 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,159 $33K
84481 <1% 2,413 $32K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,121 $32K
82150 <1% 5,649 $32K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 130 $32K
82962 <1% 5,224 $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 <1% 6,164 $30K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 181 $30K
87077 <1% 5,862 $29K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,894 $29K
70486 <1% 80 $29K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,307 $28K
76536 <1% 213 $28K
85610 <1% 5,898 $27K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,693 $26K
83605 <1% 2,859 $26K
92526 <1% 783 $26K
93017 <1% 222 $25K
84145 <1% 1,444 $25K
86850 <1% 1,928 $23K
72114 <1% 393 $22K
85730 <1% 3,366 $22K
86696 <1% 1,402 $22K
86003 <1% 197 $21K
99215 Doctor's office visit, returning patient (complex) <1% 335 $20K
73560 <1% 371 $19K
87070 <1% 2,915 $19K
97035 <1% 747 $19K
73590 <1% 258 $19K
74022 <1% 274 $19K
12001 <1% 97 $18K
85379 <1% 2,155 $18K
87205 <1% 2,005 $17K
86694 <1% 1,301 $17K
87088 <1% 2,694 $17K
82565 <1% 1,605 $17K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,642 $17K
84703 <1% 2,080 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,096 $17K
29125 <1% 162 $17K
87081 <1% 2,402 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,589 $16K
80074 <1% 410 $16K
87507 <1% 59 $16K
G0475 Hiv antigen/antibody, combination assay, screening <1% 724 $16K
84702 <1% 1,156 $15K
72100 <1% 242 $15K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,584 $14K
82728 <1% 1,425 $14K
73090 <1% 191 $14K
86140 <1% 3,127 $14K
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,141 $13K
36600 <1% 1,792 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 380 $13K
73140 <1% 200 $13K
87634 <1% 204 $12K
90715 <1% 565 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,279 $12K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 572 $11K
83540 <1% 1,970 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 616 $11K
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 970 $10K
84403 <1% 500 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,265 $9K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,612 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,440 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,299 $9K
76830 Ultrasound, transvaginal <1% 57 $9K
83550 <1% 1,177 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,219 $8K
80055 <1% 138 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 28 $7K
82550 <1% 1,500 $7K
78227 <1% 12 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,577 $7K
86900 <1% 2,522 $6K
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 1,510 $6K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,950 $6K
71101 <1% 155 $6K
92523 <1% 36 $6K
86039 <1% 607 $6K
85652 <1% 1,834 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 152 $6K
83970 <1% 165 $6K
72070 <1% 56 $5K
86901 <1% 2,158 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 35 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,441 $5K
84550 <1% 1,218 $5K
95909 <1% 101 $5K
82950 <1% 1,071 $4K
J2060 Injection, lorazepam, 2 mg <1% 2,390 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 426 $4K
76642 <1% 45 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 21 $4K
87807 <1% 265 $4K
J3480 Injection, potassium chloride, per 2 meq <1% 235 $3K
72040 <1% 41 $3K
76870 <1% 14 $3K
J2785 Injection, regadenoson, 0.1 mg <1% 33 $3K
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,350 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 161 $3K
82627 <1% 144 $3K
95910 <1% 31 $3K
84436 <1% 121 $3K
84146 <1% 147 $2K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 61 $2K
82746 <1% 184 $2K
84402 <1% 111 $2K
J1815 Injection, insulin, per 5 units <1% 194 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,765 $2K
J1596 Injection, glycopyrrolate, 0.1 mg <1% 224 $2K
82105 <1% 133 $2K
84156 <1% 696 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 345 $2K
82570 <1% 493 $2K
87899 <1% 64 $2K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 93 $2K
82652 <1% 50 $2K
73060 <1% 17 $1K
84100 <1% 322 $1K
J3490 Unclassified drugs <1% 620 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 191 $1K
87506 <1% 14 $1K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 13 $1K
83525 <1% 143 $1K
83001 <1% 81 $1K
87075 <1% 150 $1K
92587 <1% 21 $1K
80164 <1% 128 $1K
80069 <1% 107 $1K
86695 <1% 101 $1K
97012 <1% 28 $966.94
82670 <1% 47 $964.81
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 32 $946.11
93270 <1% 77 $925.83
74019 <1% 18 $848.10
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 184 $824.86
J7510 Prednisolone oral, per 5 mg <1% 116 $751.40
J2805 Injection, sincalide, 5 micrograms <1% 12 $712.92
82140 <1% 58 $693.46
83630 <1% 33 $678.67
86592 <1% 187 $675.50
87522 Neg quan hep c or qual rna <1% 13 $634.94
82553 <1% 72 $624.50
86376 <1% 56 $591.79
71271 <1% 33 $581.69
86431 <1% 110 $479.84
82010 <1% 75 $424.22
83655 <1% 39 $415.77
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 144 $413.93
J3230 Injection, chlorpromazine hcl, up to 50 mg <1% 29 $387.32
87045 <1% 33 $383.34
82947 <1% 110 $364.83
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 305 $343.44
84681 <1% 13 $330.32
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 204 $288.99
82043 <1% 64 $277.22
87210 <1% 56 $269.36
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 269 $254.66
84482 <1% 18 $231.36
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 89 $231.01
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 40 $229.49
83789 <1% 18 $222.03
J1040 Injection, methylprednisolone acetate, 80 mg <1% 15 $205.29
J3360 Injection, diazepam, up to 5 mg <1% 16 $188.17
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 15 $186.74
86800 <1% 14 $180.90
83002 <1% 12 $149.45
82575 <1% 36 $136.35
87177 <1% 14 $134.87
86787 <1% 13 $130.04
80076 <1% 13 $112.99
84630 <1% 15 $100.08
J1650 Injection, enoxaparin sodium, 10 mg <1% 21 $94.92
85018 <1% 46 $86.53
86308 <1% 17 $74.14
82044 <1% 12 $70.41
J1171 Injection, hydromorphone, 0.1 mg <1% 61 $60.94
J3410 Injection, hydroxyzine hcl, up to 25 mg <1% 13 $55.21
85014 <1% 27 $54.26
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 129 $41.25
J7050 Infusion, normal saline solution, 250 cc <1% 14 $36.12
A9270 Non-covered item or service 0% 24 $0.00

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.

From NPPES

Who's on the registration

Authorized officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.