Clinic
Medical Heights Surgery Center, INC.
Medical Heights Surgery Center, INC. was paid $1.73M by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 84% of everything it billed.
33Billing provider infoMEDICAL HEIGHTS SURGERY CENTER, INC.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1831117704assigned 07/18/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.73M
24GClaims1,982
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Kentucky
Rank by total paid#13 of 30
Median peer was paid$964K
This provider vs. median1.8×
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 | 1,026 | $855K | |
| 2019 | 872 | $829K | |
| 2020 | 84 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 84% | 1,348 | 1,248 | $1.45M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 412 | 330 | $204K |
| L8699 | Prosthetic implant, not otherwise specified | 2.7% | 125 | 86 | $46K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.7% | 72 | 68 | $29K |
| 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% | 25 | 24 | $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 officialZARTH, JOAN (BUSINESS DIRECTOR)