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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Endoscopy Center Of Washington Dc LP (NPI 1154301240)

Field	Value
Entity Type	Organization
Organization	Endoscopy Center Of Washington Dc LP
Address	2021 K St Nw
City	Washington
State	DC
ZIP	20006
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 17, 2006

Payer Source	Total Paid
Medicare	$301.7K
Medicaid	$0

Key Findings

ENDOSCOPY CENTER OF WASHINGTON DC LP operates as an ambulatory surgical clinic/center focused on gastrointestinal endoscopy: its top procedures are colonoscopy with polypectomy (45385), diagnostic colonoscopy with biopsy (45380), and upper endoscopy with biopsy (43239), consistent with an outpatient endoscopy practice performing both therapeutic and diagnostic GI work. This clinical mix matches the provider taxonomy and the detailed CPT descriptions on file.

Revenue is highly concentrated in a few colonoscopy-related codes: 45385 accounts for $126.3K (41.9% of Medicare revenue), 45380 accounts for $74.9K (24.8%), and 43239 accounts for $43.6K (14.5%); together the precomputed top 3 Medicare codes represent 81.1% of the provider's total Medicare revenue. That concentration suggests the center’s financial performance is closely tied to volume and reimbursement for a narrow set of endoscopic procedures.

This provider’s Medicare volume is modest in absolute scale but concentrated: lifetime Medicare revenue is $301.7K and there is no Medicaid billing on file, so the center is effectively single-payer in the available data and depends on Medicare as its only recorded public payer. The absence of Medicaid activity should be considered when evaluating patient mix, access patterns, and contracting leverage in-state.

Competitive standing on key colonoscopy services is relatively strong by national percentile: 45385 ranks #801 of 16310 providers nationally (95th percentile; typical, unremarkable volume for this code), 45380 ranks #1179 of 16427 (93rd percentile; typical, unremarkable volume), and 43239 ranks #2230 of 17140 (87th percentile; typical, unremarkable volume). These percentiles indicate the practice performs at higher-than-average national volume for its top codes, though the dataset characterizes those volumes as typical rather than extreme outliers.

Screening activity is a notable component of the case mix: G0105 (high-risk screening colonoscopy) generated $28.6K (9.5% of Medicare revenue) and G0121 (average-risk screening colonoscopy) generated $12.6K (4.2%). The presence of both screening and therapeutic codes implies the center treats a mix of screening patients and symptomatic/therapeutic referrals, which affects downstream pathology and surveillance workload.

Certain procedure types are rare in this portfolio: 43248 (esophageal dilation over guidewire) represents 12 claims and $3.2K (1.1% of Medicare revenue), ranking #2240 of 2425 providers nationally (4th percentile; typical, unremarkable volume for this code). The low volume for 43248 suggests dilations are an infrequent service line relative to routine diagnostic and polypectomy colonoscopies.

The provider has an established presence in the Medicare dataset, with an NPI enumerated on 2006-01-17 (~20 years ago), indicating long tenure in the market. This longevity, combined with concentrated endoscopy volume, suggests an entrenched outpatient GI service rather than a newly established or transient provider.

From a payer/contracting perspective, the business risk is concentrated: because 81.1% of Medicare revenue derives from three colonoscopy-related codes, reimbursement changes, shifts in screening guidelines, or referral patterns for those specific services could materially affect the center's revenue. Analysts and contract managers should therefore prioritize benchmarking rates and utilization for 45385, 45380, and 43239 when evaluating this provider.

Medicare: Complete Services Breakdown

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

7 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…	270	$470	$126.3K
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…	200	$380	$74.9K
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.	160	$270	$43.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	70	$430	$28.6K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$430	$12.6K
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…	40	$340	$12.5K
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…	10	$270	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Endoscopy Center Of Washington Dc LP — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	1	50	40	$250	$12.7K
45380	1	50	40	$150	$7.5K
G0105	2	20	20	$230	$7.3K
43239	2	50	50	$90	$5.2K
G0121	6	20	20	$220	$4.9K
45378	2	30	20	$160	$3.1K
43248	2	10	20	$170	$2.9K

Nearby Providers

Other providers in the same ZIP code as Endoscopy Center Of Washington Dc LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capitol View Home Healthcare Agency	DC	Respite Care	$0	$26.2M
Amazing Grace Supports Inc	DC	In Home Supportive Care Agency	$0	$20.2M
Mba Non Profit Solutions, LLC	DC	Developmentally Disabled Services Day Training Agency	$0	$3.4M
Premier Support Services Inc	DC	Case Management Agency	$0	$2.9M
Hamid Saranjam	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
District Endodontics PLLC	DC	Endodontics	$0	$1.8M
Kerman Dental LLC	DC	General Practice Dentistry	$0	$1.4M
Lifetree Health, Inc	DC	Primary Care Clinic/Center	$0	$1.2M
Kaveh Zand	DC	Endodontics	$0	$1M
Limitless Possibilities, LLC.	DC	Mental Health Counselor	$0	$741.8K

Endoscopy Center Of Washington Dc LP — Billing Profile & Reimbursement Data

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Endoscopy Center Of Washington Dc LP — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References