Clinic
Colorectal Surgical & Gastroenterology Associates PSC
Colorectal Surgical & Gastroenterology Associates PSC was paid $964K by Medicaid between Oct 2018 and Nov 2024, across 4 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 46% of everything it billed.
33Billing provider infoCOLORECTAL SURGICAL & GASTROENTEROLOGY ASSOCIATES PSC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1396260931assigned 08/04/2017
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$964K
24GClaims3,428
24DCodes billed4
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Kentucky
Rank by total paid#16 of 30
Median peer was paid$964K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 47 | $8K | |
| 2019 | 330 | $90K | |
| 2020 | 557 | $141K | |
| 2021 | 906 | $245K | |
| 2022 | 574 | $153K | |
| 2023 | 590 | $181K | |
| 2024incomplete | 424 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 46% | 1,521 | 1,298 | $440K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 36% | 1,211 | 1,021 | $349K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 487 | 408 | $117K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.0% | 209 | 170 | $58K |
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 officialWHITAKER, KELLY (BILLING MANAGER)
Parent organizationCOLORECTAL SURGICAL & GASTROENTEROLOGY ASSOCIATES PSC