ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC
NPI: 1164488219
· JOHNSON CITY, TN 37604
· Ambulatory Surgical Clinic/Center
· NPI assigned 04/25/2006
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | RUTLEDGE, PENNY (FACILITY ADMINISTRATOR) |
| NPI Enumeration Date | 04/25/2006 |
Related Entities
Other providers sharing the same authorized official: RUTLEDGE, PENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
362 |
$0.00 |
| 2019 |
466 |
$2K |
| 2020 |
607 |
$12K |
| 2021 |
692 |
$13K |
| 2022 |
941 |
$29K |
| 2023 |
1,394 |
$44K |
| 2024 |
1,078 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
583 |
529 |
$115K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
73 |
66 |
$16K |
| 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 |
4,859 |
4,329 |
$0.08 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
25 |
13 |
$0.00 |