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NPI 1114922192 · Redding, CA · Ambulatory Surgical Clinic/Center
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Gastroenterology Associates Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Redding, California. This profile covers 13 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 | Gastroenterology Associates Endoscopy Center, LLC |
| Address | 2179 Court St |
| City | Redding |
| State | CA |
| ZIP | 96001 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.8M |
| Medicare | $1.7M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 990 | $540 | $535.1K |
| 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. | 890 | $310 | $269.9K |
| 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… | 590 | $410 | $244.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 380 | $510 | $191.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 270 | $510 | $137.7K |
| 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… | 180 | $390 | $70.2K |
| 45390 | The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope. | 50 | $1,200 | $59.8K |
| 43248 | The 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… | 120 | $350 | $42.5K |
| 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… | 50 | $710 | $36.8K |
| 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. | 60 | $340 | $19.6K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 6 | 1,410 | 60 | $340 | $33.9K |
| 45380 | 22 | 1,460 | 60 | $230 | $23.8K |
| 45390 | 8 | 120 | 20 | $590 | $18.3K |
| 43239 | 5 | 1,500 | 80 | $150 | $17.3K |
| G0105 | 2 | 650 | 30 | $340 | $14.8K |
| G0121 | 1 | 710 | 20 | $340 | $12.7K |
| 43251 | 15 | 130 | 20 | $350 | $9.4K |
| 43249 | 108 | 270 | 20 | $310 | $9.1K |
| 45378 | 11 | 800 | 20 | $220 | $7.5K |
| 43248 | 3 | 120 | 30 | $200 | $7.2K |
Showing 1–10 of 13
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 |
|---|---|---|---|---|
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 10,560 | $50 | $570.2K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 2,950 | $190 | $554K |
| 99201 | Deleted code, effective Jan. 1, 2021 | 2,330 | $190 | $438.4K |
| 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. | 2,690 | $30 | $78K |
| 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… | 1,900 | $30 | $49.3K |
| 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… | 1,710 | $30 | $42.7K |
| 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… | 740 | $40 | $28.3K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 344 | 1,570 | 680 | $110 | $1.1M |
| 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. | 97 | 780 | 350 | $180 | $200.7K |
| 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… | 29 | 410 | 180 | $310 | $178.8K |
| 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… | 62 | 570 | 210 | $250 | $160.5K |
| 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… | 127 | 530 | 140 | $240 | $158.4K |
| 99201 | Deleted code, effective Jan. 1, 2021 | 41 | 660 | 120 | $90 | $68.9K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 153 | 2,180 | 180 | $70 | $67.9K |
Other providers in the same ZIP code as Gastroenterology Associates Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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