MOUNTAIN EMPIRE SURGERY CENTER LP
NPI: 1760486369
· JOHNSON CITY, TN 37604
· 261QA1903X
$369K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
100 |
$33K |
| 2020 |
46 |
$16K |
| 2022 |
57 |
$32K |
| 2023 |
221 |
$149K |
| 2024 |
149 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
|
195 |
187 |
$202K |
| 69436 |
|
307 |
203 |
$165K |
| L8699 |
Prosthetic implant nos |
71 |
65 |
$2K |