Loading...
NPI 1245346923 · Louisville, KY · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Aesthetic Plastic Surgery Institute Of Louisville, LLC is a ambulatory surgical clinic/center provider located in Louisville, Kentucky. This profile covers 15 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Aesthetic Plastic Surgery Institute Of Louisville, LLC |
| Address | 444 S 1st St |
| City | Louisville |
| State | KY |
| ZIP | 40202 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.2M |
| Medicaid | $2.1M |
This facility is an ambulatory surgical clinic/center by taxonomy but its billed services mix is concentrated in urology and implantable neurostimulation procedures, not general cosmetic outpatient surgery. On Medicare the top revenue-generating codes are 64561, 64590 and 52000 (together accounting for 77.1% of Medicare revenue), and the detailed code list includes multiple cystourethroscopy procedures (52000, 52310, 52224) plus prostate-related codes (55700, 55706, C9740) and implantable neurostimulator codes (64561, 64590), indicating a combined urology and neurostimulation procedural focus rather than a purely cosmetic practice.
Revenue concentration is extreme in both payers: the precomputed top 3 Medicare codes account for 77.1% of this provider’s total Medicare revenue ($4.2M), while the precomputed top 3 Medicaid codes account for 99.9% of the provider’s total Medicaid revenue ($2.1M). These concentrations suggest the practice depends heavily on a handful of high-revenue procedures rather than a broad mix of low-value services.
Medicare-scale drivers: 52000 is a dominant Medicare procedure for this provider with 2.8K claims and $562.4K revenue and it ranks #1 of 8548 providers nationally (100th percentile; extreme outlier). Implantable neurostimulator services are also outsized on Medicare: 64561 produced $1.4M (393 claims) and ranks #4 of 564 providers nationally (99th percentile; extreme outlier), while 64590 generated $1.2M (88 claims) and ranks #6 of 561 providers nationally (99th percentile; extreme outlier).
Medicaid competitive standing is similarly concentrated and locally dominant for key urology procedures: 52000 has 5.6K Medicaid claims and $1M revenue and ranks #1 of 34 providers in-state (100th percentile; extreme outlier), while 52310 produced 1.1K Medicaid claims and $973K revenue and ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume for this code). The Medicaid top-3 concentration (99.9%) shows virtually all Medicaid revenue derives from these same procedural lines.
Several individual procedure ranks flag the provider as an outlier relative to peers: multiple codes are labeled “extreme outlier” or show top-percentile national positions (e.g., 52000, 64561, 64590, 55706), which indicates throughput and billing volumes for these services are far above typical providers at both national (Medicare) and state (Medicaid) levels. These rank/percentile annotations point to unique operational scale in specific procedural niches rather than broadly elevated billing across all codes.
The provider’s Medicaid revenue ($2.1M) is meaningful but smaller than Medicare ($4.2M); both payers are active, so this entity should be treated as a dual-payer operator with Medicare representing the larger single-payer revenue source. Given that Medicaid top codes mirror Medicare drivers (52000 and 52310), the same service lines appear to produce high volumes across both payers in this market.
Operational and coding notes that could affect future revenue flows: 55700 is marked “Code deleted December 31, 2025,” which could change reporting, reimbursement, and the composition of top procedures going forward if those services are rebilled under replacement codes. Analysts should watch how deletion of 55700 shifts the provider’s billing mix and the high concentration currently captured in the top-3 Medicaid and Medicare codes.
This provider has an established presence with an NPI enumerated on 2006-08-22 (~20 years ago), indicating long tenure in the market; combined with the concentrated, high-volume procedural profile and top-percentile ranks, this suggests a specialized clinic that has scaled specific urology and neurostimulation services over many years rather than a general ambulatory center with broad service diversity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 390 | $3,630 | $1.4M |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 90 | $13,940 | $1.2M |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 2,810 | $200 | $562.4K |
| 55700 | Code deleted December 31, 2025. | 570 | $610 | $345.3K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 370 | $610 | $226.2K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $5,260 | $152.6K |
| 55706 | The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide… | 100 | $1,090 | $111K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 580 | $40 | $23.7K |
| 52224 | The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys… | 20 | $1,090 | $22.9K |
| 15733 | The provider develops a muscle, myocutaneous, or fasciocutaneous flap from one of the muscles in the forehead, around the jaws, or neck, preserving the vascular supply, and uses it to cover a nearby… | 10 | $1,190 | $16.7K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64561 | 1 | 10 | 40 | $3,320 | $302.3K |
| 64590 | 1 | 10 | 30 | $8,230 | $296.2K |
| C9740 | 3 | 10 | 40 | $5,180 | $155.3K |
| 55706 | 1 | 10 | 10 | $940 | $39.3K |
| 15823 | 12 | 20 | 30 | $550 | $21.6K |
| 52000 | 1 | 90 | 70 | $140 | $17.4K |
| 15733 | 3 | 10 | 20 | $870 | $16.5K |
| 14060 | 15 | 30 | 20 | $520 | $15.1K |
| 14040 | 11 | 10 | 20 | $470 | $13.1K |
| 55700 | 1 | 50 | 20 | $310 | $11.2K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 5,590 | $180 | $1M |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 1,120 | $870 | $973K |
| 55700 | Code deleted December 31, 2025. | 280 | $360 | $99.9K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 300 | $10 | $2.4K |
| 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… | 270 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 1 | 10 | 50 | $790 | $224.3K |
| 55700 | Code deleted December 31, 2025. | 1 | 10 | 280 | $360 | $99.8K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 2 | 10 | 2,110 | $40 | $75.6K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 1 | 30 | 80 | $130 | $61.8K |
| 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… | 9 | 20 | 260 | $1 | $1 |
Other providers in the same ZIP code as Aesthetic Plastic Surgery Institute Of Louisville, LLC, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.