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    OpenPayerNPI Medicare & MedicaidHead And Neck Surgery Associates, Psc
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    Head And Neck Surgery Associates, Psc — Billing Profile & Reimbursement Data

    NPI 1396823381 · Florence, KY · Ambulatory Surgical Clinic/Center

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    Head And Neck Surgery Associates, Psc is a ambulatory surgical clinic/center provider located in Florence, Kentucky. This profile covers 2 Medicare and 3 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
    OrganizationHead And Neck Surgery Associates, Psc
    Address7575 Us 42
    CityFlorence
    StateKY
    ZIP41042
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.1M
    Medicare$229.1K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…240$810$191.3K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…50$810$37.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669842343101,560$40$67.1K
    66982247030$270$20.8K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1,770$330$587K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.410$1,110$458.8K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…110$410$43.4K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1460160$780$292.2K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…4570210$310$290K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.980260$430$263.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Head And Neck Surgery Associates, Psc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Corey ClayNMAllergy & Immunology Physician$97.5K$0
    Todd KirchhoffKYOtolaryngology Physician$47.4K$0
    Bryan KrolKYOtolaryngology Physician$43.2K$0
    Perry PoteetKYOtolaryngology Physician$39.5K$0
    Steven MagaryKYOtolaryngology Physician$31.2K$0
    Courtney CoffeyKYPhysician Assistant$12.8K$0
    Shon ChaffeeOHAudiologist$8K$0
    Stacey WoodsKYAudiologist$7.3K$0
    Lindsay FlahertyKYAudiologist$6.6K$0
    Charles PerineINAudiologist$5.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Head And Neck Surgery Associates, Psc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Personal Touch Home Care Of Ky, Inc.KYHome Health Agency$0$127.2M
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$0$65.5M
    Northern Kentucky Consumer Directed Options ProgramKYSupports Brokerage Agency$0$52.8M
    Healthy Adult Day Healthcare, LLCKYAdult Day Care Clinic/Center$0$37.7M
    Dungarvin Kentucky, LLC - FlorenceKYDevelopmentally Disabled Services Day Training Agency$0$35.3M
    Northern Kentucky Consumer Directed Option ProgramKYSupports Brokerage Agency$0$27.5M
    Personal Touch Home Care Of Ky, Inc.KYHome Health Agency$0$13.2M
    Tri-generations, LLCKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.2M
    Bawac, Inc.KYDevelopmentally Disabled Services Day Training Agency$0$5.5M
    Advanced Technology Of Kentucky Inc.KYOxygen Equipment & Supplies (DME)$0$5.1M

    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
    Head And Neck Surgery Associates, Psc — 0 of 2 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
    Head And Neck Surgery Associates, Psc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky