Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gastroenterology Consultants, Ltd (NPI 1144218512)

Gastroenterology Consultants, Ltd is a specialist provider located in Reno, Nevada. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Gastroenterology Consultants, Ltd
Address	880 Ryland St
City	Reno
State	NV
ZIP	89502
Taxonomy	Specialist
NPI Enumerated	October 11, 2005

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	6,040	$70	$447.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	6,310	$70	$441.4K
99204	The 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…	1,400	$140	$188.5K
99213	The 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…	2,660	$40	$111.7K
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.	480	$90	$42.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	230	$150	$33.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	240	$100	$23.6K
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…	90	$250	$21.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$100	$9.2K
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…	60	$140	$7.8K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Gastroenterology Consultants, Ltd — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	401	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	322	430	500	$40	$214.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	390	430	180	$130	$158K
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…	26	40	130	$200	$139.6K
99214	The 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…	176	2,250	290	$60	$138K
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.	24	80	160	$140	$122.2K
99213	The 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…	368	2,480	330	$50	$107.6K
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…	16	20	180	$190	$96.5K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	27	80	80	$150	$91.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	11	90	200	$20	$71.6K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reno Endoscopy Center, LLC	NV	Ambulatory Surgical Clinic/Center	$479.7K	$474.9K
Phillip Usera	NV	Anatomic Pathology & Clinical Pathology Physician	$356.4K	$37.6K
Jason Collins	NV	Gastroenterology Physician	$167.5K	$0
Tom Fang	NV	Gastroenterology Physician	$135.5K	$0
Ting-hui Hsieh	NV	Gastroenterology Physician	$128.6K	$0
Jonathan Pezanoski	NV	Gastroenterology Physician	$120.8K	$0
Timothy Halterman	NV	Gastroenterology Physician	$113.4K	$0
Leslie Massey	NV	Gastroenterology Physician	$110.6K	$0
Eric Osgard	NV	Gastroenterology Physician	$94.2K	$0
Rajiv Sharma	AZ	Gastroenterology Physician	$60.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renown Regional Medical Center	NV	General Acute Care Hospital	$0	$63.7M
Reno Sparks Indian Colony	NV	Clinic/Center	$390	$47.4M
Regional Emergency Medical Services Authority	NV	Ambulance	$8.2M	$26.1M
Medtrans Behavioral Nevada Casal, PLLC	NV	Community/Behavioral Health Agency	$0	$26.4M
Consumer Direct Services For Nevada, LLC	NV	Personal Care Attendant	$0	$23.3M
Brown, Calvanese, Cameron Ltd	NV	Emergency Medicine Physician	$0	$19.7M
Washoe County School District	NV	Local Education Agency (LEA)	$0	$16.5M
Community Care Services LLC	NV	Internal Medicine Physician	$0	$15.1M
Medical Services Of Nevada Inc	NV	In Home Supportive Care Agency	$0	$12.7M
Community Health Alliance	NV	Federally Qualified Health Center (FQHC)	$0	$7M

Gastroenterology Consultants, Ltd — Billing Profile & Reimbursement Data

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Gastroenterology Consultants, Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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