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    OpenPayerNPI Medicare & MedicaidLourdes Ambulatory Surgery Center LLC
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    Lourdes Ambulatory Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1326048091 · Paducah, KY · Ambulatory Surgical Clinic/Center

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    Lourdes Ambulatory Surgery Center LLC is a ambulatory surgical clinic/center provider located in Paducah, Kentucky. This profile covers 10 Medicare and 10 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLourdes Ambulatory Surgery Center LLC
    Address225 Medical Center Dr Ste 105
    CityPaducah
    StateKY
    ZIP42003
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 26, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$596.4K
    Medicare$254.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…130$400$50.9K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.230$200$45.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…140$320$44K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…50$750$33.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk80$380$31.2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$300$15.1K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…60$260$14.6K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.30$220$7.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$380$6.1K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…20$310$5.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854425050$250$20.2K
    453802424040$140$9.4K
    G01051214030$230$9.3K
    432391827060$90$7.4K
    43248113030$130$6.8K
    45384102020$160$5.5K
    G01217513020$230$5K
    43450163040$90$4.3K
    453781015020$150$3.6K
    3822254020$100$2.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.690$410$282.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.1,520$170$261.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…220$210$44.5K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography20$190$3.1K
    L8699Prosthetic implant, not otherwise specified490$10$2.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$40$800
    G8907Patient 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…4,430$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time60$0$0
    G8917Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time30$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis3,980$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.841701,300$230$441K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2180260$430$263.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…69120300$320$215.2K
    L8699Prosthetic implant, not otherwise specified310210$180$189.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…89110230$340$175.7K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography61070$330$80.3K
    G8907Patient 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…220260$1$1
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis210180$1$1
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time11060$0$0
    G8917Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time11030$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lourdes Ambulatory Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Betty SandlinKYCertified Registered Nurse Anesthetist$66.9K$0
    Denise RoofKYCertified Registered Nurse Anesthetist$63.5K$0
    Thelma HettlerKYCertified Registered Nurse Anesthetist$29.6K$0
    Gregory VincentKYCertified Registered Nurse Anesthetist$16.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Lourdes Ambulatory Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$72.6M
    Mercy Health-lourdes Hospital LLCKYGeneral Acute Care Hospital$0$61.9M
    Baptist Health Medical Group IncKYFamily Medicine Physician$0$21.9M
    Mercy Health Physicians Kentucky LLCKYFamily Medicine Physician$0$11.9M
    Ambulatory Surgery Center LLCKYAmbulatory Surgical Clinic/Center$771.4K$8.7M
    Joseph BlackmonKYMOHS-Micrographic Surgery Physician$6.9M$0
    John Colgan Jr.KYPediatric Dentistry$0$5.6M
    Mercy Health Physicians Kentucky Specialty Care LLCKYSurgery Physician$0$4.7M
    Justin ColganKYPediatric Dentistry$0$4.6M
    Paducah Ophthalmology Asc LLCKYAmbulatory Surgical Clinic/Center$1.3M$467.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Lourdes Ambulatory Surgery Center LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Lourdes Ambulatory Surgery Center LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky