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    OpenPayerNPI Medicare & MedicaidCumberland Foot & Ankle Centers
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    Cumberland Foot & Ankle Centers — Billing Profile & Reimbursement Data

    NPI 1093901100 · Somerset, KY · Foot & Ankle Surgery Podiatrist

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    Cumberland Foot & Ankle Centers is a foot & ankle surgery podiatrist provider located in Somerset, Kentucky. This profile covers 0 Medicare and 60 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCumberland Foot & Ankle Centers
    Address117 Tradepark Dr Ste B
    CitySomerset
    StateKY
    ZIP42503
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedSeptember 21, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…36,130$30$939.5K
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each6,250$130$818.6K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…11,090$60$642.9K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.39,120$10$469.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…10,930$40$415.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…4,210$70$311.8K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe9,210$30$294.6K
    L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf1,070$210$220.6K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.9,490$20$189.7K
    A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35…2,090$90$185.9K

    Showing 1–10 of 60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf62090$190$410.9K
    L1940Ankle foot orthosis, plastic or other material, custom fabricated2101,190$330$394.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1773,3401,020$30$296K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1872,460580$40$245K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…6780480$50$177.8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…3537801,950$30$157.8K
    L2330Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only110840$180$149.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.2030250$40$137.3K
    L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated410110$410$136.9K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.13110670$80$135.3K

    Showing 1–10 of 60

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cumberland Foot & Ankle Centers, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew TompkinsKYFoot & Ankle Surgery Podiatrist$228.5K$0
    Jeffrey SchnellKYFoot & Ankle Surgery Podiatrist$174.6K$0
    Jonathan MooreKYFoot & Ankle Surgery Podiatrist$140.4K$0
    Jerry RobertsKYFoot & Ankle Surgery Podiatrist$103.8K$0
    Christopher MillerKYFoot & Ankle Surgery Podiatrist$102.5K$0
    Pamela Jensen-stanleyKYFoot & Ankle Surgery Podiatrist$92K$0
    Ann DavisKYFoot & Ankle Surgery Podiatrist$74.9K$0
    Amy BarkoKYFoot & Ankle Surgery Podiatrist$51.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Cumberland Foot & Ankle Centers, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Morrland Healthcare LLCKYCommunity/Behavioral Health Agency$0$54.8M
    Applied Behavioral Advancements, LLCKYCommunity/Behavioral Health Agency$0$29.2M
    Protea Behavioral Health Counseling, PLLCKYProfessional Counselor$0$24.4M
    Lake Cumberland Regional Hospital, LLCKYInternal Medicine Physician$0$15.6M
    Cumberland Behavior Group, LLCKYCommunity/Behavioral Health Agency$0$15.2M
    Quest CounselingKYMental Health Counselor$0$12.5M
    Lake Cumberland Recovery, IncKYSubstance Use Disorder Rehabilitation Clinic/Center$0$11.8M
    Achievements Through ActionsKYDevelopmentally Disabled Services Day Training Agency$0$10M
    Lake Cumberland Surgery Center LPKYAmbulatory Surgical Clinic/Center$1M$8.7M
    Adult Day Health, Inc.KYAdult Day Care Clinic/Center$0$8.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Cumberland Foot & Ankle Centers — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky