Clinic
Pinelake Physician Practice LLC
Pinelake Physician Practice LLC was paid $1.01M by Medicaid between Aug 2021 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPINELAKE PHYSICIAN PRACTICE LLC
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1922645134assigned 12/06/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.01M
24GClaims89,010
24DCodes billed54
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#60 of 265
Median peer was paid$400K
This provider vs. median2.5×
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 TEAGUE, KATHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,169 | $25K | |
| 2022 | 19,457 | $307K | |
| 2023 | 43,594 | $366K | |
| 2024incomplete | 24,790 | $309K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 16,614 | 14,400 | $555K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,470 | 2,352 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 1,335 | 1,262 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 1,230 | 1,155 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.8% | 4,098 | 3,780 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 534 | 475 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 179 | 156 | $14K |
| 90461 | 1.3% | 446 | 425 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 981 | 804 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 423 | 380 | $12K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 188 | 159 | $8K |
| 87400 | <1% | 675 | 232 | $5K |
42 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $5K |
| 87428 | <1% | 140 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 315 | $4K |
| 90670 | <1% | 316 | $2K | |
| 87430 | <1% | 114 | $2K | |
| 90697 | <1% | 500 | $1K | |
| 83655 | <1% | 94 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | $690.52 |
| 85018 | <1% | 301 | $613.39 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 55 | $371.35 |
| 90680 | <1% | 447 | $306.82 | |
| 90671 | <1% | 511 | $270.86 | |
| 87807 | <1% | 17 | $222.70 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 15 | $129.80 |
| 90716 | <1% | 24 | $123.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $70.65 |
| 90686 | <1% | 66 | $65.53 | |
| 90710 | <1% | 32 | $39.00 | |
| 90715 | <1% | 63 | $37.42 | |
| 90633 | <1% | 228 | $31.03 | |
| 81002 | <1% | 28 | $20.96 | |
| 90696 | <1% | 30 | $13.04 | |
| 3078F | <1% | 7,974 | $6.74 | |
| 3074F | <1% | 8,053 | $6.37 | |
| 3008F | <1% | 13,250 | $4.32 | |
| 1160F | <1% | 11,611 | $4.26 | |
| 1159F | <1% | 11,613 | $4.26 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 14 | $2.96 |
| 3079F | <1% | 392 | $1.22 | |
| 3075F | <1% | 236 | $0.77 | |
| 1036F | <1% | 2,165 | $0.43 | |
| 1034F | <1% | 333 | $0.10 | |
| 90700 | 0% | 28 | $0.00 | |
| 3725F | 0% | 338 | $0.00 | |
| 90734 | 0% | 49 | $0.00 | |
| 90723 | 0% | 79 | $0.00 | |
| 1035F | 0% | 17 | $0.00 | |
| 90619 | 0% | 59 | $0.00 | |
| 90647 | 0% | 90 | $0.00 | |
| 99000 | 0% | 31 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 36416 | 0% | 18 | $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 officialTEAGUE, KATHY (SECRETARY)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.