Endoscopy Center of Northeast Tennessee, PC

Endoscopy Center of Northeast Tennessee, PC was paid $130K by Medicaid between Feb 2018 and Nov 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 88% of everything it billed.

33Billing provider infoENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC
JOHNSON CITY, TN 37604

33aNPI1164488219assigned 04/25/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$130K

24GClaims5,540

24DCodes billed4

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Tennessee

Rank by total paid#35 of 91

Median peer was paid$55K

This provider vs. median2.4×

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	362	$0.00
2019	466	$2K
2020	607	$12K
2021	692	$13K
2022	941	$29K
2023	1,394	$44K
2024incomplete	1,078	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	88%	583	529	$115K
45380	Colonoscopy, flexible; with biopsy, single or multiple	12%	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	<1%	4,859	4,329	$0.08
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	25	13	$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 officialRUTLEDGE, PENNY (FACILITY ADMINISTRATOR)

Same official

Other billing entities under RUTLEDGE, PENNY

Full network →

Provider	Location	Paid
Gastrointestinal Associates of Northeast Tennessee, PC	Johnson City, TN	$578K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.