Children's West Surgery Center

Children's West Surgery Center was paid $9.98M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 65% of everything it billed.

33Billing provider infoCHILDREN'S WEST SURGERY CENTER
KNOXVILLE, TN 37922

33aNPI1689632119assigned 05/03/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$9.98M

24GClaims11,289

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Tennessee

Rank by total paid#2 of 91

Median peer was paid$55K

This provider vs. median182×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	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
2024incomplete	1,613	$1.53M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	65%	6,526	6,339	$6.53M
42820	Tonsillectomy and adenoidectomy; younger than age 12	28%	3,305	3,284	$2.76M
42830		4.6%	891	878	$462K
31231		1.3%	422	418	$132K
54161		<1%	103	103	$67K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	30	28	$17K
41899	Unlisted procedure, dentoalveolar structures	<1%	12	12	$6K

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.

From NPPES

Who's on the registration

Authorized officialWOMBLE, DEBORAH (ADMINISTRATOR)