NP / PA
Lexington Heart Specialists, PSC
Lexington Heart Specialists, PSC was paid $834K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 50% of everything it billed.
33Billing provider infoLEXINGTON HEART SPECIALISTS, PSC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1548334667assigned 11/20/2006
33bProvider typePhysician Assistant
28Total paid$834K
24GClaims18,598
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#58 of 214
Median peer was paid$134K
This provider vs. median6.2×
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 | 2,084 | $84K | |
| 2019 | 2,170 | $98K | |
| 2020 | 3,539 | $154K | |
| 2021 | 3,997 | $157K | |
| 2022 | 2,809 | $141K | |
| 2023 | 2,149 | $105K | |
| 2024incomplete | 1,850 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 50% | 4,039 | 3,602 | $413K |
| 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 | 14% | 3,627 | 3,359 | $116K |
| 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 | 13% | 1,494 | 1,344 | $104K |
| 93000 | 5.7% | 4,359 | 3,985 | $47K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 1,557 | 1,448 | $40K |
| 93015 | 3.5% | 716 | 594 | $29K | |
| 93880 | 3.0% | 413 | 357 | $25K | |
| 93229 | 1.9% | 52 | 42 | $16K | |
| 93458 | 1.9% | 101 | 91 | $16K | |
| 80061 | Lipid panel | <1% | 1,125 | 1,039 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 295 | 93 | $5K |
| 93224 | <1% | 72 | 63 | $5K |
10 more codes
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 147 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 305 | $2K |
| 93970 | <1% | 25 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $854.32 |
| 93971 | <1% | 48 | $809.39 | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 50 | $805.60 |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $715.50 |
| 93228 | <1% | 51 | $641.30 | |
| 99406 | <1% | 69 | $511.90 | |
| 93018 | <1% | 12 | $138.04 |
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 officialSKINNER, WILLIAM (PRESIDENT)