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NPI 1104457274 · Abilene, TX · Ambulatory Surgical Clinic/Center
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Texas Midwest Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Abilene, Texas. This profile covers 9 Medicare and 7 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 | Texas Midwest Endoscopy Center, LLC |
| Address | 14 Hospital Dr Ste B |
| City | Abilene |
| State | TX |
| ZIP | 79606 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 28, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $262.6K |
| Medicaid | $102.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 310 | $250 | $76.6K |
| 45378 | The 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… | 120 | $300 | $37.6K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 100 | $350 | $34.2K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 60 | $530 | $33.4K |
| 45384 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy… | 70 | $330 | $22.1K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 40 | $540 | $21.7K |
| 45385 | The 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… | 40 | $400 | $17.2K |
| 43235 | The 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. | 50 | $280 | $15.3K |
| 43450 | The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing. | 20 | $300 | $4.5K |
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
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 410 | $220 | $89.4K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 40 | $310 | $13.2K |
| G8909 | Patient documented not to have received a burn prior to discharge | 440 | $0 | $0 |
| G8911 | Patient documented not to have experienced a fall within ambulatory surgical center | 440 | $0 | $0 |
| G8913 | Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event | 440 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 440 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 440 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The 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. | 36 | 160 | 80 | $160 | $64.7K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 28 | 40 | 70 | $190 | $49.6K |
| G8909 | Patient documented not to have received a burn prior to discharge | 1 | 10 | 440 | $0 | $0 |
| G8911 | Patient documented not to have experienced a fall within ambulatory surgical center | 1 | 10 | 440 | $0 | $0 |
| G8913 | Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event | 1 | 10 | 440 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 1 | 10 | 440 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 21 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Texas Midwest Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Abilene Spine & Joint Surgery Center LLC | TX | Ambulatory Surgical Clinic/Center | $3.6M | $52.9K |
| Sunil Patel | TX | Ophthalmology Physician | $2.6M | $0 |
| Charles Clark | TX | Ophthalmology Physician | $2.1M | $0 |
| Eric Zavaleta | TX | Ophthalmology Physician | $1.9M | $0 |
| Ross Lynds | TX | Ophthalmology Physician | $1.8M | $0 |
| Seong Lee | TX | Ophthalmology Physician | $1.5M | $0 |
| Timothy Bumann | TX | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | $1.5M | $0 |
| Hari Kalla | TX | Hematology & Oncology Physician | $1.1M | $0 |
| Screening For Life LLC | TX | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $579.9K | $489.2K |
| Abilene Eye Asc LP | TX | Ambulatory Surgical Clinic/Center | $1.1M | $0 |
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