Lake Cumberland District Health Department
Lake Cumberland District Health Department was paid $212K by Medicaid between Jan 2018 and Sep 2024, across 23 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 21% of everything it billed.
SOMERSET, KY 42501
Next to other Public Health or Welfare Agency 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 | |
|---|---|---|---|
| 2018 | 3,076 | $80K | |
| 2019 | 1,554 | $50K | |
| 2020 | 457 | $16K | |
| 2021 | 381 | $13K | |
| 2022 | 490 | $16K | |
| 2023 | 451 | $20K | |
| 2024incomplete | 394 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 1,277 | 1,255 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 957 | 895 | $36K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 13% | 581 | 567 | $27K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 13% | 569 | 555 | $27K |
| 90632 | 9.8% | 347 | 341 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.7% | 329 | 319 | $21K |
| 90461 | 6.7% | 261 | 259 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 511 | 502 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.0% | 96 | 91 | $4K |
| 90651 | 1.1% | 300 | 299 | $2K | |
| 90633 | <1% | 627 | 622 | $828.00 | |
| 90734 | <1% | 298 | 297 | $512.00 |
11 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.