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NPI 1760486369 · Johnson City, TN · Ambulatory Surgical Clinic/Center
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Mountain Empire Surgery Center LP is a ambulatory surgical clinic/center provider located in Johnson City, Tennessee. This profile covers 18 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mountain Empire Surgery Center LP |
| Address | 601 Med Tech Pkwy |
| City | Johnson City |
| State | TN |
| ZIP | 37604 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $369K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 70 | $6,170 | $413.1K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 70 | $6,190 | $402.2K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 30 | $1,850 | $46.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 70 | $470 | $34.1K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 31,390 | $1 | $31.4K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 30 | $940 | $30.2K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 90 | $290 | $25.5K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 40 | $560 | $24.5K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 30 | $920 | $22.9K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 60 | $360 | $20K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 60 | 280 | 30 | $1,440 | $67.8K |
| 27130 | 22 | 170 | 30 | $1,480 | $53.1K |
| 29827 | 25 | 90 | 20 | $1,110 | $26.7K |
| 64483 | 59 | 150 | 70 | $190 | $25.8K |
| 64635 | 38 | 150 | 40 | $360 | $25.6K |
| C9290 | 2 | 10 | 29,260 | $1 | $25.3K |
| 29881 | 6 | 40 | 20 | $770 | $17K |
| 64721 | 31 | 90 | 30 | $400 | $16.9K |
| 29848 | 15 | 30 | 40 | $390 | $16K |
| 62323 | 151 | 150 | 50 | $150 | $14.8K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 200 | $1,040 | $202K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 310 | $540 | $164.6K |
| L8699 | Prosthetic implant, not otherwise specified | 70 | $40 | $2.5K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 22 | 50 | 140 | $850 | $541.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 26 | 70 | 160 | $500 | $421.5K |
| L8699 | Prosthetic implant, not otherwise specified | 6 | 10 | 50 | $10 | $3.1K |
Other providers in the same ZIP code as Mountain Empire Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
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