NP / PA
New Lexington Clinic, PSC
New Lexington Clinic, PSC was paid $311K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoNEW LEXINGTON CLINIC, PSC
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1497910731assigned 07/25/2008
33bProvider typeNurse Practitioner
28Total paid$311K
24GClaims11,151
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#78 of 260
Median peer was paid$89K
This provider vs. median3.5×
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 | 2,140 | $47K | |
| 2019 | 1,646 | $37K | |
| 2020 | 991 | $19K | |
| 2021 | 944 | $24K | |
| 2022 | 1,239 | $31K | |
| 2023 | 2,719 | $101K | |
| 2024incomplete | 1,472 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 3,448 | 3,206 | $113K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 2,115 | 1,979 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,835 | 3,235 | $86K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.5% | 111 | 109 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 387 | 354 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 42 | 38 | $1K |
| 82962 | <1% | 716 | 638 | $1K | |
| 93000 | <1% | 95 | 88 | $744.78 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 28 | $642.63 |
| 87428 | <1% | 31 | 29 | $601.87 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | 15 | $455.13 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | 26 | $334.76 |
5 more codes
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 officialLEMAY, RANDALL (CHIEF FINANCIAL OFFICER)
Parent organizationNEW LEXINGTON CLINIC, PSC
| Provider | Location | Paid |
|---|---|---|
| New Lexington Clinic, PSC | Lexington, KY | $117K |
| New Lexington Clinic, PSC | Lexington, KY | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.