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NPI 1144317470 · Rocky Mount, NC · Endoscopy Clinic/Center
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Boice Willis Clinic PA is a endoscopy clinic/center provider located in Rocky Mount, North Carolina. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Boice Willis Clinic PA |
| Address | 901 N Winstead Ave Ste 310 |
| City | Rocky Mount |
| State | NC |
| ZIP | 27804 |
| Taxonomy | Endoscopy Clinic/Center |
| NPI Enumerated | October 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $335.1K |
| Medicaid | $111.8K |
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 |
|---|---|---|---|---|
| 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… | 320 | $430 | $137.3K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 150 | $390 | $59.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 70 | $390 | $26.2K |
| 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. | 140 | $190 | $25.6K |
| 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… | 80 | $270 | $20.2K |
| 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. | 100 | $190 | $19.8K |
| 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… | 60 | $320 | $19.7K |
| 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… | 50 | $310 | $14.9K |
| 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. | 50 | $260 | $12.1K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 14,510 | $10 | $87.1K |
| 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… | 100 | $110 | $10.5K |
| 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. | 90 | $110 | $9.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 40 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 1,298 | 2,850 | 10,910 | $10 | $330.3K |
| 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. | 120 | 190 | 190 | $120 | $70.8K |
| 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… | 32 | 80 | 50 | $150 | $32K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 48 | 60 | 170 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 34 | 40 | 70 | $0 | $0 |
Other providers in the same ZIP code as Boice Willis Clinic PA, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Educare Community Living Corporation - North Carolina | NC | Community/Behavioral Health Agency | $0 | $69.3M |
| Nash Hospitals Inc | NC | General Acute Care Hospital | $0 | $42.4M |
| Wake Emergency Physicians PA | NC | Emergency Medicine Physician | $0 | $8.8M |
| Opportunities Industrialization Center, Inc. | NC | Federally Qualified Health Center (FQHC) | $0 | $8.1M |
| County Of Nash | NC | Land Ambulance | $1M | $2.3M |
| County Of Halifax | NC | Land Ambulance | $495.6K | $2.3M |
| Karn Gupta | NC | Nephrology Physician | $944.8K | $0 |
| Aristides Assimacopoulos | NC | Infectious Disease Physician | $360.7K | $450.7K |
| Metz Medical Transport, Inc. | NC | Land Ambulance | $363.8K | $212.1K |
| Thomas Robertson | NC | Ophthalmology Physician | $528.3K | $0 |
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