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Lake Cumberland Reg Mhmr Board Inc.

Community/Behavioral Health·Somerset, KY·NPI: 1801922620Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $140.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$140.9M

$140,903,669

Total Claims

899K

Beneficiaries

110K

8.2 claims/patient

Avg Cost/Claim

$157

#782 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Lake Cumberland Reg Mhmr Board Inc. is a Community/Behavioral Health provider based in Somerset, KY. From the 2018–2024 period, this provider received $140.9M in Medicaid payments across 899K claims.

Why This Matters

This provider received $140.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,612 Medicaid beneficiaries for a full year at average per-enrollee costs.

166% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.3M
+28%
2019
$14.5M
+20%
2020
$17.4M
+15%
2021
$20.0M
+6%
2022
$21.2M
+24%
2023
$26.3M
+14%
2024
$30.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 57% of total spending.

T1019Top 25%

Personal care services, per 15 min

$80.2M

391K claims · 57.0%

Your Cost: $205.12/claim|Median: $82.47
2.5× median
97535Top 5%

Self-care/home management training, per 15 minutes

$38.6M

306K claims · 27.4%

Your Cost: $126.17/claim|Median: $18.18
6.9× median
T2022Normal range

Case management, per month

$7.5M

29K claims · 5.3%

Your Cost: $261.10/claim|Median: $202.77
1.3× median
S5108Normal range

Home care training to home care client, per 15 minutes

$6.0M

59K claims · 4.2%

Your Cost: $100.71/claim|Median: $107.36
0.9× median
T2021Normal range

Day habilitation, waiver; per 15 min

$3.6M

55K claims · 2.5%

Your Cost: $65.04/claim|Median: $150.51
0.4× median
T2040Normal range

Financial management, self-directed; per month

$3.2M

31K claims · 2.3%

Your Cost: $103.95/claim|Median: $108.97
0.9× median
T1005Normal range

Respite care services, per 15 minutes

$1.9M

29K claims · 1.3%

Your Cost: $65.15/claim|Median: $71.40
0.9× median