Clinic
Lexington Surgery Center LTD
Lexington Surgery Center LTD was paid $5.41M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 27% of everything it billed.
33Billing provider infoLEXINGTON SURGERY CENTER LTD
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1750343083assigned 04/03/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$5.41M
24GClaims17,219
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Kentucky
Rank by total paid#6 of 30
Median peer was paid$964K
This provider vs. median5.6×
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 | 681 | $171K | |
| 2019 | 2,075 | $491K | |
| 2020 | 1,847 | $535K | |
| 2021 | 2,509 | $977K | |
| 2022 | 3,470 | $897K | |
| 2023 | 3,867 | $1.17M | |
| 2024incomplete | 2,770 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 27% | 2,669 | 1,900 | $1.45M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 22% | 3,620 | 1,922 | $1.20M |
| L8699 | Prosthetic implant, not otherwise specified | 20% | 5,574 | 2,673 | $1.08M |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 19% | 738 | 666 | $1.02M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.2% | 1,142 | 966 | $283K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.2% | 593 | 514 | $172K |
| 42830 | 2.2% | 167 | 139 | $121K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 109 | 99 | $36K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 40 | 40 | $15K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 15 | 15 | $15K |
| V2632 | Posterior chamber intraocular lens | <1% | 2,304 | 1,664 | $8K |
| 67311 | <1% | 20 | 12 | $7K |
4 more codes
| 64721 | <1% | 14 | $4K | |
| C1889 | Implantable/insertable device, not otherwise classified | <1% | 68 | $11.97 |
| 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 | 0% | 110 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 36 | $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 officialMCCLAIN, BRIAN (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Care Providers, LLC | Canton, OH | $1.66M |
| Skill Doc 101, LLC | Canton, OH | $436K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.