HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC
NPI: 1356396857
· KINGSPORT, TN 37660
· 261QA1903X
$272K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
309 |
$52K |
| 2019 |
366 |
$116K |
| 2020 |
99 |
$42K |
| 2021 |
29 |
$14K |
| 2023 |
54 |
$31K |
| 2024 |
33 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
|
578 |
544 |
$222K |
| 64721 |
|
49 |
40 |
$23K |
| 42820 |
|
23 |
21 |
$17K |
| 69436 |
|
15 |
13 |
$8K |
| 45380 |
|
13 |
12 |
$2K |
| G8907 |
Pt doc no events on discharg |
157 |
134 |
$0.00 |
| G8918 |
Pt w/o preop order iv ab pro |
55 |
44 |
$0.00 |