NMC Surgery Center, L.P.
NMC Surgery Center, L.P. was paid $768K by Medicaid between Feb 2018 and Nov 2024, across 7 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 59% of everything it billed.
NACOGDOCHES, TX 75965
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 44 | $0.00 | |
| 2020 | 80 | $4K | |
| 2021 | 548 | $113K | |
| 2022 | 626 | $197K | |
| 2023 | 501 | $276K | |
| 2024incomplete | 185 | $178K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 59% | 357 | 352 | $452K |
| 41899 | Unlisted procedure, dentoalveolar structures | 29% | 374 | 368 | $220K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 666 | 495 | $95K |
| 31231 | <1% | 182 | 178 | $1K | |
| L8699 | Prosthetic implant, not otherwise specified | 0% | 345 | 344 | $0.00 |
| 30802 | 0% | 16 | 15 | $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% | 44 | 41 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.