MID-STATE ENDOSCOPY CENTER LLC
NPI: 1598083594
· MURFREESBORO, TN 37130
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/14/2010
$156K
Total Medicaid Paid
Provider Details
| Authorized Official | MONTGOMERY, WILLIAM (OFFICER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 05/14/2010 |
Related Entities
Other providers sharing the same authorized official: MONTGOMERY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
159 |
$53K |
| 2019 |
117 |
$38K |
| 2020 |
99 |
$32K |
| 2021 |
81 |
$27K |
| 2022 |
24 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
455 |
437 |
$148K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
25 |
$8K |