Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Lexington › NPI 1558390781
Clinic

Baptist-Physicians Surgery Center

Baptist-Physicians Surgery Center was paid $5.84M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 41% of everything it billed.

33Billing provider infoBAPTIST-PHYSICIANS SURGERY CENTER
LEXINGTON, KY 40503
33aNPI1558390781assigned 07/01/2006
28Total paid$5.84M
24GClaims14,599
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Kentucky

Rank by total paid#5 of 30
Median peer was paid$964K
This provider vs. median6.1×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20181,773$610K
20191,655$697K
20201,547$578K
20212,548$933K
20222,599$1.06M
20232,498$1.11M
2024incomplete1,979$858K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
41899 Unlisted procedure, dentoalveolar structures 41% 2,585 2,354 $2.40M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 22% 5,074 4,468 $1.26M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 16% 2,688 2,410 $926K
45380 Colonoscopy, flexible; with biopsy, single or multiple 7.5% 2,035 1,730 $437K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 5.8% 1,011 914 $337K
58661 4.5% 185 156 $265K
43249 2.6% 469 397 $154K
64483 <1% 145 119 $36K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 39 38 $24K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 15 13 $5K
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility <1% 205 183 $10.35
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis <1% 148 133 $7.65

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 officialHILL, KAREN (DIRECTOR/ OFFICER)
Same official

Other billing entities under HILL, KAREN

Full network →
ProviderLocationPaid
Arlington Independent School DistrictArlington, TX$10.36M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.