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NPI 1174873780 · New York, NY · Ambulatory Surgical Clinic/Center
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Yorkville Endoscopy, LLC is a ambulatory surgical clinic/center provider located in New York, New York. This profile covers 15 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 | Yorkville Endoscopy, LLC |
| Address | 201 E 93rd St |
| City | New York |
| State | NY |
| ZIP | 10128 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 12, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,200 | $410 | $492.8K |
| 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… | 750 | $530 | $397.4K |
| 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. | 1,070 | $280 | $297.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 150 | $490 | $75.3K |
| 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… | 100 | $670 | $67.2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 120 | $490 | $56.4K |
| 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 | $680 | $43.6K |
| 46946 | The provider performs one of many techniques other than the rubber band technique to remove two or more hemorrhoids or groups. Hemorrhoids are small swollen vessels in the rectum or anus. | 40 | $1,160 | $41.6K |
| 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… | 90 | $380 | $33.7K |
| 45331 | In this procedure, the provider examines the inner part of the rectum and the sigmoid colon using a sigmoidoscope, a flexible, narrow tube with a camera at its one end. He then takes one or more… | 40 | $380 | $13.5K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 3 | 1,100 | 40 | $320 | $19.4K |
| 46946 | 1 | 10 | 20 | $770 | $16.1K |
| 45380 | 2 | 1,220 | 40 | $230 | $15K |
| 43239 | 2 | 1,290 | 50 | $180 | $14.2K |
| 43251 | 5 | 60 | 20 | $410 | $12.8K |
| G0105 | 12 | 340 | 20 | $300 | $11.8K |
| G0121 | 12 | 280 | 20 | $340 | $11.3K |
| 43249 | 2 | 70 | 20 | $310 | $8.4K |
| 45378 | 48 | 690 | 20 | $230 | $8.3K |
| 45382 | 8 | 20 | 20 | $350 | $6.9K |
Showing 1–10 of 15
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 |
|---|---|---|---|---|
| 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. | 1,290 | $420 | $539.6K |
| 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… | 920 | $380 | $352.4K |
| 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… | 200 | $430 | $85.5K |
| 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… | 140 | $460 | $62.6K |
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 30 | $120 | $3.2K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
5 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. | 143 | 610 | 310 | $380 | $397.9K |
| 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… | 95 | 390 | 240 | $450 | $332.2K |
| 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… | 108 | 260 | 140 | $500 | $245.2K |
| 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… | 106 | 220 | 120 | $480 | $186.8K |
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 78 | 110 | 90 | $100 | $57.2K |
Other providers in the same ZIP code as Yorkville Endoscopy, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Advantagecare Physicians PC | NY | General Practice Physician | $0 | $60.4M |
| Robert Gelfand | NY | Hematology & Oncology Physician | $4.2M | $0 |
| Carnegie Hill Institute, Inc. | NY | Methadone Clinic | $49.1K | $3.7M |
| Rachel Kramer | NY | Hematology & Oncology Physician | $2.1M | $0 |
| Vicken Pamoukian | NY | Vascular Surgery Physician | $1.7M | $860 |
| George Young | NY | Urology Physician | $128.7K | $818.3K |
| Carnegie Hill Of New York, Inc | NY | Methadone Clinic | $52.9K | $815.9K |
| Zaher Hamadeh | NY | Internal Medicine Physician | $624.2K | $164.5K |
| Newsha Ghodsi | NY | Cardiovascular Disease Physician | $666K | $2.9K |
| Jonathan Schiff | NY | Urology Physician | $556.2K | $780 |
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