Holston Valley Ambulatory Surgery Center, LLC
Holston Valley Ambulatory Surgery Center, LLC was paid $272K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 82% of everything it billed.
KINGSPORT, TN 37660
Next to other Ambulatory Surgical Clinic/Center providers in Tennessee
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 | 309 | $52K | |
| 2019 | 366 | $116K | |
| 2020 | 99 | $42K | |
| 2021 | 29 | $14K | |
| 2023 | 54 | $31K | |
| 2024incomplete | 33 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 82% | 578 | 544 | $222K |
| 64721 | 8.6% | 49 | 40 | $23K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 6.3% | 23 | 21 | $17K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.8% | 15 | 13 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | 12 | $2K |
| 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% | 157 | 134 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 55 | 44 | $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
| Provider | Location | Paid |
|---|---|---|
| Paramus Endoscopy LLC | Paramus, NJ | $1.04M |
| Summit Health Partners LLC | Fletcher, NC | $527K |
| Mountain Empire Surgery Center LP | Johnson City, TN | $369K |
| Central Virginia Surgi-Center LP | Fredericksburg, VA | $319K |
| Northridge Surgery Center, LP | Madison, TN | $284K |
| KHS Ambulatory Surgery Center, LLC | Sewell, NJ | $225K |
| Baptist Surgery Center LP | Nashville, TN | $11K |
| Mary Immaculate Ambulatory Surgery Center LLC | Newport News, VA | $6K |
| Baptist Plaza Surgicare, LP | Nashville, TN | $5K |
| Mid State Endo Uap, LLC | Murfreesboro, TN | $4K |
| Middle Tennessee Ambulatory Surgery Center, L.P. | Murfreesboro, TN | $4K |
| Chattanooga Pain Management Center LLC | Hixson, TN | $2K |
| Saint Francis Surgery Center, LLC | Memphis, TN | $0.00 |
| Ambulatory Surgical Associates LLC | Tullahoma, TN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.