Mountain Empire Surgery Center LP
Mountain Empire Surgery Center LP was paid $369K by Medicaid between Feb 2018 and Dec 2024, across 3 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 55% of everything it billed.
JOHNSON CITY, TN 37604
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 | 100 | $33K | |
| 2020 | 46 | $16K | |
| 2022 | 57 | $32K | |
| 2023 | 221 | $149K | |
| 2024incomplete | 149 | $139K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 55% | 195 | 187 | $202K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 45% | 307 | 203 | $165K |
| L8699 | Prosthetic implant, not otherwise specified | <1% | 71 | 65 | $2K |
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 |
| Central Virginia Surgi-Center LP | Fredericksburg, VA | $319K |
| Northridge Surgery Center, LP | Madison, TN | $284K |
| Holston Valley Ambulatory Surgery Center, LLC | Kingsport, TN | $272K |
| 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.