Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEXINGTON SURGERY CENTER LTD

NPI: 1750343083 · LEXINGTON, KY 40504 · Ambulatory Surgical Clinic/Center · NPI assigned 04/03/2006

$5.41M
Total Medicaid Paid
17,219
Total Claims
10,793
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCLAIN, BRIAN (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date04/03/2006

Related Entities

Other providers sharing the same authorized official: MCCLAIN, BRIAN

ProviderCityStateTotal Paid
PINNACLE CARE PROVIDERS, LLC CANTON OH $1.66M
SKILL DOC 101, LLC CANTON OH $436K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,770 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2,669 1,900 $1.45M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 3,620 1,922 $1.20M
L8699 Prosthetic implant, not otherwise specified 5,574 2,673 $1.08M
42820 Tonsillectomy and adenoidectomy; younger than age 12 738 666 $1.02M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,142 966 $283K
45380 Colonoscopy, flexible; with biopsy, single or multiple 593 514 $172K
42830 167 139 $121K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 109 99 $36K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 40 40 $15K
41899 Unlisted procedure, dentoalveolar structures 15 15 $15K
V2632 Posterior chamber intraocular lens 2,304 1,664 $8K
67311 20 12 $7K
64721 14 13 $4K
C1889 Implantable/insertable device, not otherwise classified 68 48 $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 110 92 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 36 30 $0.00