Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN EMPIRE SURGERY CENTER LP

NPI: 1760486369 · JOHNSON CITY, TN 37604 · Ambulatory Surgical Clinic/Center · NPI assigned 06/10/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official OCONNOR, KRISTEN controls 14+ related entities in our dataset. Read more

$369K
Total Medicaid Paid
573
Total Claims
455
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOCONNOR, KRISTEN (AUTHORIZED OFFICIAL)
NPI Enumeration Date06/10/2005

Related Entities

Other providers sharing the same authorized official: OCONNOR, KRISTEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $33K
2020 46 $16K
2022 57 $32K
2023 221 $149K
2024 149 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 195 187 $202K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 307 203 $165K
L8699 Prosthetic implant, not otherwise specified 71 65 $2K