PEDIATRIC SURGERY ASSOCIATES SOS Verified
653 N TOWN CENTER DR SUITE 507, LAS VEGAS, NV 89144
NPI Number
1588784623
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: PEDIATRIC SURGERY ASSOCIATES, LTD
Entity Number: E0120872007-9
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2007-02-21
Status Changed: 2013-03-21
Name Match: 90%
Registered Agent
Name: JOHN R. RADER
Type: Non-Commercial Registered Agent
Address: 6625 W SAHARA AVE SUITE 1, LAS VEGAS, NV, 89146
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | KELLY KOGUT | 11521 WINTER VIEW AVENUE, LAS VEGAS, NV, 89135 | Active |
| Director | KELLY KOGUT | 11521 WINTER VIEW AVENUE, LAS VEGAS, NV, 89135 | Active |
| Secretary | Erik PEARSON | 12019 TRAMONTO AVE, Las Vegas, NV | Active |
| Treasurer | Erik Pearson | 12019 Tramonto Ave, Las Vegas, NV | Active |
Campaign Contributions
$12,600Total Contributed
4Candidates Supported
Corporate Matches
Pediatric Surgery Associates, LtdConfirmed Match
$1,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Keep Our Doctors in Nevada | PAC | $1,000 | 1 |
Pediatric Surgery Associates, Ltd.Probable Match
$4,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Mark Hutchison | Lieutenant Governor | Republican Party | $4,000 | 1 |
Pediatric Surgery Associates Ltd.Probable Match
$5,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Brian Sandoval | Governor | Republican Party | $5,000 | 1 |
Officer / Individual Matches
Kelly KogutConfirmed Match
Matched via officer: KELLY KOGUT (President)
$2,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Mark Hutchison | Lieutenant Governor | Republican Party | $2,000 | 1 |
Kelly KogutProbable Match
Matched via officer: KELLY KOGUT (President)
$600 across 2 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Adriana Escobar | District Court Judge, District 8, Department 14 | Republican Party | $600 | 2 |
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$85,917
+367% vs specialty average
Patients Seen
940
Total Claims
1,031
$ Per Patient
$91
Specialty avg: $88
Specialty Rank
#1 of 6
Surgery, Pediatric Surgery providers in Nevada
Peer Average
$18,383
Average total for Surgery, Pediatric Surgery
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2019 | $13,995 | |
| 2020 | $20,344 | |
| 2021 | $28,643 | |
| 2022 | $14,927 | |
| 2023 | $5,737 | |
| 2024 | $2,270 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 615 | $39,248 | 45.7% | $64 |
| 99222 | Hospital admission — first day, moderate to serious problem | 158 | $17,429 | 20.3% | $110 |
| 99223 | Hospital admission — first day, complex or serious problem | 60 | $9,837 | 11.4% | $164 |
| 99243 | Office consultation — moderate problem | 78 | $8,620 | 10.0% | $111 |
| 99203 | New patient office visit — moderate problem | 66 | $6,447 | 7.5% | $98 |
| 99232 | Hospital care — daily check by your doctor (moderate update) | 38 | $2,622 | 3.1% | $69 |
| 99253 | Medical service or procedure | 16 | $1,714 | 2.0% | $107 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.