CHILDREN'S WEST SURGERY CENTER
NPI: 1689632119
· KNOXVILLE, TN 37922
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/03/2006
$9.98M
Total Medicaid Paid
Provider Details
| Authorized Official | WOMBLE, DEBORAH (ADMINISTRATOR) |
| NPI Enumeration Date | 05/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,541 |
$1.39M |
| 2019 |
1,902 |
$1.60M |
| 2020 |
877 |
$793K |
| 2021 |
969 |
$840K |
| 2022 |
2,225 |
$1.87M |
| 2023 |
2,162 |
$1.94M |
| 2024 |
1,613 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
6,526 |
6,339 |
$6.53M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
3,305 |
3,284 |
$2.76M |
| 42830 |
|
891 |
878 |
$462K |
| 31231 |
|
422 |
418 |
$132K |
| 54161 |
|
103 |
103 |
$67K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
28 |
$17K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12 |
12 |
$6K |