Clinic
Wartburg Surgery Center LLC
Wartburg Surgery Center LLC was paid $84K by Medicaid between Jan 2018 and Jan 2023, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.
33Billing provider infoWARTBURG SURGERY CENTER LLC
WARTBURG, TN 37887
WARTBURG, TN 37887
33aNPI1104055425assigned 07/08/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$84K
24GClaims6,819
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Tennessee
Rank by total paid#39 of 91
Median peer was paid$55K
This provider vs. median1.5×
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 | 1,067 | $37K | |
| 2019 | 980 | $8K | |
| 2020 | 279 | $0.00 | |
| 2021 | 1,864 | $19K | |
| 2022 | 2,567 | $19K | |
| 2023 | 62 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 469 | 295 | $22K |
| 43249 | 10.0% | 317 | 128 | $8K | |
| 43245 | 8.3% | 262 | 112 | $7K | |
| 43236 | 8.3% | 326 | 134 | $7K | |
| 64493 | 8.0% | 67 | 57 | $7K | |
| 43250 | 7.3% | 252 | 96 | $6K | |
| 64495 | 6.9% | 66 | 57 | $6K | |
| 64494 | 6.2% | 65 | 56 | $5K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.4% | 187 | 89 | $5K |
| 43251 | 4.8% | 318 | 133 | $4K | |
| 43247 | 2.2% | 304 | 127 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.8% | 145 | 57 | $2K |
6 more codes
| 43248 | 1.7% | 47 | $1K | |
| 45381 | 1.5% | 164 | $1K | |
| 43255 | 1.2% | 203 | $1K | |
| 45382 | <1% | 77 | $282.35 | |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 1,688 | $0.00 |
| 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% | 1,862 | $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 officialOCHS, TIMOTHY (CO-OWNER)