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    OpenPayerNPI Medicare & MedicaidRichard Elloway
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    Richard Elloway — Billing Profile & Reimbursement Data

    NPI 1003841958 · Olympia, WA · Gastroenterology Physician

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    Richard Elloway is a gastroenterology physician provider located in Olympia, Washington. This profile covers 9 Medicare and 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Elloway
    Address209 Lilly Rd Ne Ste B
    CityOlympia
    StateWA
    ZIP98506
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$149.8K
    Medicare$53.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…160$110$17.5K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$190$13K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$120$6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…70$80$5.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…80$60$5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.20$90$1.9K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…20$110$1.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$70$1.8K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.10$80$880

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538519338070$290$31K
    992146,54510,860100$80$13.6K
    4323931737060$120$9.3K
    432487911030$180$7K
    992133,9709,69060$60$6.5K
    992041504,75030$110$5.2K
    45378913020$200$4.2K
    992031,6983,14030$70$3.3K
    4323517118020$120$2.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…1,490$80$111.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…790$40$28.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…150$50$7.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.120$10$1.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.10$50$650

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,2661,820480$60$379.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.113120590$230$331.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…8621,860610$40$295.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…6453080$90$87.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.156260240$20$26.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Richard Elloway, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$756.5K$0
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$497.1K$2.4K
    John CarpenterWAAnatomic Pathology & Clinical Pathology Physician$485.9K$0
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$347.6K$67.5K
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$351.1K$0
    Sittilerk TrikalsaransukhWAGastroenterology Physician$268.9K$0
    Melissa Bluestein-rogersWAFamily Nurse Practitioner$201.9K$0
    Teresa AbernathyWAFamily Nurse Practitioner$161.7K$0
    Stephanie RomineWAFamily Nurse Practitioner$128.1K$0
    David LiangWAGastroenterology Physician$112.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Richard Elloway, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health ResourcesWACommunity/Behavioral Health Agency$0$40.7M
    Providence Health & Services WashingtonWAGeneral Acute Care Hospital$0$39.9M
    Providence Health & Services WashingtonWAFamily Medicine Physician$0$20M
    Harbor Health Solutions LLCWAHome Health Agency$0$8.6M
    Olympia Emergency Services, PLLCWAEmergency Medicine Physician$0$6.5M
    South Sound Pediatrics PLLCWAPediatrics Physician$0$6.3M
    Healthy Future PediatricsWAPediatrics Physician$0$4.3M
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$3.9M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$3.4M
    Olympia Pediatrics, PLLCWASpecialist$0$2.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Richard Elloway — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Richard Elloway — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington