New Lexington Clinic, PSC

New Lexington Clinic, PSC was paid $148K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 91% of everything it billed.

33Billing provider infoNEW LEXINGTON CLINIC, PSC
LEXINGTON, KY 40504

33aNPI1912097700assigned 10/13/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$148K

24GClaims827

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Kentucky

Rank by total paid#26 of 30

Median peer was paid$964K

This provider vs. median0.2×

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	211	$24K
2019	150	$32K
2020	148	$31K
2021	158	$28K
2022	87	$17K
2023	61	$14K
2024incomplete	12	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	91%	672	577	$135K
45380	Colonoscopy, flexible; with biopsy, single or multiple	7.2%	43	38	$11K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.5%	14	13	$2K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	26	24	$843.57
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%	72	60	$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 officialRILEY, NATHAN (CHEIF ADMINISTRATIVE OFFICER)