Lake Cumberland Pediatric Therapy, LLC
Lake Cumberland Pediatric Therapy, LLC was paid $201K by Medicaid between Jul 2022 and Dec 2024, across 4 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 69% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PEDIATRIC THERAPY, LLC
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1962058669assigned 08/18/2019
33bProvider typePhysical Therapist
28Total paid$201K
24GClaims4,002
24DCodes billed4
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Kentucky
Rank by total paid#52 of 148
Median peer was paid$61K
This provider vs. median3.3×
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.
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 | |
|---|---|---|---|
| 2022 | 710 | $26K | |
| 2023 | 1,980 | $111K | |
| 2024incomplete | 1,312 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 69% | 3,091 | 850 | $139K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 29% | 767 | 199 | $58K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.9% | 102 | 37 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 42 | 16 | $709.97 |
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 officialJONES, CYNTHIA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Connecticut Phlebology PC | Fairfield, CT | $3.23M |
| Lake Cumberland Pediatric Therapy, LLC | Somerset, KY | $1.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.