EAST TENNESSEE AMBULATORY SURGERY CENTER LLC
Ambulatory Surgical Clinic/Center · JOHNSON CITY, TN
Organization Active NPI 1659360071
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 268 | 464 | $1,060,806 | $338,135 | $269,272 |
| 2023 | 341 | 570 | $1,330,567 | $394,926 | $316,374 |
| 2022 | 383 | 608 | $2,011,037 | $859,750 | $684,644 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 66 | $327 | $250 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 46 | $610 | $484 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 40 | $499 | $392 |
| 19301 | Partial removal of breast | 33 | $1,044 | $827 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 31 | $410 | $410 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 27 | $592 | $472 |
| 47562 | Removal of gallbladder using an endoscope | 18 | $1,829 | $1,464 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 17 | $1,345 | $1,068 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 0000000109 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.