Physician
Vanguard Surgical LLC
Vanguard Surgical LLC was paid $519K by Medicaid between Jan 2020 and Apr 2024, across 8 billing codes. Its largest line is 43659, — 95% of everything it billed.
33Billing provider infoVANGUARD SURGICAL LLC
LOUISVILLE, KY 40245
LOUISVILLE, KY 40245
33aNPI1356904064assigned 04/18/2019
33bProvider typeSurgery Physician
28Total paid$519K
24GClaims993
24DCodes billed8
24AFirst – last monthJan 2020 – Apr 2024
Compared with peers
Next to other Surgery Physician providers in Kentucky
Rank by total paid#3 of 34
Median peer was paid$20K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 53 | $37K | |
| 2021 | 81 | $66K | |
| 2022 | 196 | $147K | |
| 2023 | 613 | $243K | |
| 2024incomplete | 50 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43659 | 95% | 512 | 311 | $494K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.2% | 204 | 182 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 77 | 60 | $4K |
| 64590 | <1% | 52 | 39 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 17 | 12 | $1K |
| 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% | 42 | 28 | $902.45 |
| 95982 | <1% | 56 | 37 | $601.21 | |
| 95980 | <1% | 33 | 24 | $313.18 |
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 officialHUGHES, MICHAEL (OWNER)
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| Boardman Fire Rescue District | Boardman, OR | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.