Clinic
New Lexington Clinic, PSC
New Lexington Clinic, PSC was paid $8.21M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99284, emergency room visit (serious) — 36% of everything it billed.
33Billing provider infoNEW LEXINGTON CLINIC, PSC
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1700803681assigned 07/16/2006
33bProvider typeHearing and Speech Clinic/Center
28Total paid$8.21M
24GClaims203,707
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
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 | 27,526 | $667K | |
| 2019 | 17,256 | $433K | |
| 2020 | 15,606 | $397K | |
| 2021 | 13,830 | $375K | |
| 2022 | 13,311 | $367K | |
| 2023 | 54,939 | $2.62M | |
| 2024incomplete | 61,239 | $3.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 55,611 | 53,139 | $2.99M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 27,583 | 26,038 | $2.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 33,146 | 28,991 | $915K |
| 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 | 7.6% | 18,677 | 16,631 | $623K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.6% | 7,152 | 6,249 | $293K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.2% | 4,532 | 4,309 | $178K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.6% | 3,844 | 3,684 | $134K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,842 | 1,776 | $71K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 3,782 | 1,077 | $62K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,825 | 8,516 | $57K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 569 | 508 | $56K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,994 | 1,895 | $48K |
93 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,816 | $45K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,367 | $44K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 684 | $41K |
| 88307 | <1% | 799 | $38K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,190 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 486 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 301 | $22K |
| 87428 | <1% | 563 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 694 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,007 | $15K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 54 | $13K |
| 95117 | <1% | 1,173 | $13K | |
| 73030 | <1% | 926 | $11K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 33 | $10K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 87 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 152 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 644 | $10K |
| 88112 | <1% | 348 | $9K | |
| 72100 | <1% | 618 | $9K | |
| 73630 | <1% | 637 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 598 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 357 | $8K |
| 73564 | <1% | 547 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $8K |
| 73562 | <1% | 718 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 103 | $8K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 81 | $8K |
| 88304 | <1% | 1,150 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 116 | $6K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 34 | $6K |
| 73502 | <1% | 302 | $4K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 371 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 198 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 163 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | $4K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 998 | $4K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 25 | $3K |
| 73110 | <1% | 257 | $3K | |
| 76642 | <1% | 78 | $3K | |
| 88312 | <1% | 185 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 827 | $3K |
| 73610 | <1% | 214 | $3K | |
| 74018 | <1% | 214 | $3K | |
| 72040 | <1% | 147 | $2K | |
| 90686 | <1% | 850 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 61 | $2K |
| 93000 | <1% | 310 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $2K |
| 77080 | <1% | 39 | $1K | |
| 81003 | <1% | 2,854 | $1K | |
| 70486 | <1% | 14 | $1K | |
| 82962 | <1% | 1,089 | $1K | |
| 77066 | Tomosynthesis, mammo | <1% | 13 | $1K |
| 0071A | <1% | 26 | $1K | |
| 88311 | <1% | 177 | $1K | |
| 90461 | <1% | 495 | $971.38 | |
| 0072A | <1% | 24 | $960.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | $926.20 |
| 72110 | <1% | 38 | $887.78 | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $858.00 |
| 95886 | <1% | 21 | $785.21 | |
| 51798 | <1% | 155 | $735.19 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $718.34 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $703.12 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $603.48 |
| 94726 | <1% | 26 | $553.77 | |
| 94729 | <1% | 26 | $533.88 | |
| 96127 | <1% | 128 | $455.48 | |
| 81002 | <1% | 339 | $423.55 | |
| 76536 | <1% | 19 | $397.74 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 16 | $357.70 |
| 73140 | <1% | 35 | $332.14 | |
| 87807 | <1% | 27 | $330.14 | |
| 90670 | <1% | 83 | $290.28 | |
| 72070 | <1% | 13 | $173.36 | |
| 73100 | <1% | 13 | $149.70 | |
| 92015 | Determination of refractive state | <1% | 16 | $141.54 |
| 80305 | <1% | 31 | $134.60 | |
| 88342 | <1% | 15 | $131.11 | |
| 99443 | <1% | 12 | $97.56 | |
| 90633 | <1% | 37 | $88.66 | |
| 94760 | <1% | 44 | $88.07 | |
| 90648 | <1% | 83 | $87.90 | |
| 99051 | <1% | 93 | $81.04 | |
| 99177 | <1% | 26 | $72.80 | |
| 92557 | <1% | 12 | $62.59 | |
| 90685 | <1% | 24 | $46.46 | |
| 82044 | <1% | 14 | $43.61 | |
| 92567 | <1% | 13 | $17.64 | |
| 99499 | 0% | 3,120 | $0.00 | |
| 99053 | 0% | 77 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90723 | 0% | 15 | $0.00 |
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 officialGAINES, DEE (ASST. DIRECTOR BUS. OFFICE)
| Provider | Location | Paid |
|---|---|---|
| New Lexington Clinic, PSC | Lexington, KY | $468.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.