Bluegrass Surgical Association, PSC
Bluegrass Surgical Association, PSC was paid $133K by Medicaid between Jan 2018 and May 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoBLUEGRASS SURGICAL ASSOCIATION, PSC
BOWLING GREEN, KY 42103
BOWLING GREEN, KY 42103
33aNPI1497814768assigned 12/06/2006
33bProvider typeSpecialist
28Total paid$133K
24GClaims3,790
24DCodes billed8
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#35 of 73
Median peer was paid$107K
This provider vs. median1.2×
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 | 1,398 | $44K | |
| 2019 | 1,274 | $48K | |
| 2020 | 649 | $26K | |
| 2021 | 432 | $14K | |
| 2022 | 37 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,804 | 1,492 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 540 | 495 | $29K |
| 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 | 16% | 275 | 247 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 799 | 683 | $15K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.2% | 162 | 136 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.6% | 126 | 113 | $6K |
| 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 | 2.1% | 72 | 63 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.9% | 12 | 12 | $3K |
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 officialKORBA, JOHN (PRESIDENT)