Medicaid Provider Spending

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

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

NPI: 1982073813 · SOMERSET, KY 42503 · Physician Assistant · NPI assigned 09/22/2015

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

Authorized official MILLER, SARA controls 20+ related entities in our dataset. Read more

$437K
Total Medicaid Paid
56,785
Total Claims
46,594
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, SARA (DIRECTOR)
NPI Enumeration Date09/22/2015

Related Entities

Other providers sharing the same authorized official: MILLER, SARA

ProviderCityStateTotal Paid
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.41M
VAUGHAN PHYSICIAN PRACTICES LLC SELMA AL $783K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $671K
CASTLEVIEW PHYSICIAN PRACTICE, LLC PRICE UT $654K
MEADOWVIEW PHYSICIAN PRACTICE LLC FLEMINGSBURG KY $564K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $450K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $380K
PINELAKE PHYSICIAN PRACTICE LLC MAYFIELD KY $236K
MEADOWVIEW PHYSICIAN PRACTICE LLC SHARPSBURG KY $142K
HRMC, LLC LAKE HAVASU CITY AZ $137K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $116K
LITTLE LEAF THERAPY LLC NAMPA ID $108K
DLP TWIN COUNTY PHYSICIAN PRACTICES, LLC GALAX VA $89K
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $72K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC HENDERSON NC $70K
AMG CROCKETT LLC LAWRENCEBURG TN $61K
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC GALAX VA $59K
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $55K
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC LOUISBURG NC $52K
LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY $42K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,806 $82K
2019 6,554 $73K
2020 4,863 $45K
2021 6,258 $70K
2022 6,029 $53K
2023 16,223 $66K
2024 9,052 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,982 6,726 $142K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,007 1,701 $104K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,159 1,838 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,391 1,087 $50K
52000 1,380 1,115 $49K
52356 42 25 $6K
81001 5,550 4,125 $5K
36415 Collection of venous blood by venipuncture 2,415 1,959 $5K
81003 11,967 9,774 $4K
51798 859 630 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 247 174 $3K
99222 Initial hospital care, per day, moderate complexity 67 53 $3K
52310 13 12 $2K
52332 16 15 $1K
99243 18 17 $1K
99221 12 12 $470.12
99442 48 32 $359.42
51784 15 12 $183.45
3079F 876 798 $0.00
3008F 3,291 2,954 $0.00
1036F 3,235 2,654 $0.00
3074F 1,978 1,778 $0.00
3080F 519 462 $0.00
3075F 309 279 $0.00
1160F 3,044 2,685 $0.00
1159F 3,043 2,685 $0.00
3078F 2,075 1,865 $0.00
3077F 1,227 1,127 $0.00