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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Bayside Endoscopy Center, LLC (NPI 1184713919)

Field	Value
Entity Type	Organization
Organization	Bayside Endoscopy Center, LLC
Address	148 W River St
City	Providence
State	RI
ZIP	02904
Taxonomy	Endoscopy Clinic/Center
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicare	$341K
Medicaid	$0

Key Findings

BAYSIDE ENDOSCOPY CENTER, LLC presents as a focused ambulatory endoscopy practice: its top billings are for colonoscopy and upper endoscopy procedures (notably 45380, 45385, and 43239), with claim counts of 352, 181, and 248 respectively. The code descriptions show a mix of diagnostic biopsy (45380, 43239) and therapeutic polypectomy/removal (45385), consistent with a procedure-driven endoscopy clinic rather than a broad multispecialty outpatient facility.

Revenue is highly concentrated in a small set of endoscopy services: the top 3 Medicare codes (45380, 45385, 43239) together account for 81.7% of the provider's total Medicare revenue. In particular, 45380 alone contributes $136.9K (40.2% of Medicare revenue), indicating that a single colonoscopy-with-biopsy code is the dominant revenue driver.

This provider’s Medicare scale is modest in dollar terms but effectively single-payer: lifetime Medicare revenue is $341K and there is no Medicaid billing on file. The absence of any Medicaid billing means the practice currently has no recorded Medicaid revenue exposure and relies entirely on Medicare and other non-Medicaid payers for the billed volume shown.

45380 stands out competitively: the provider ranks #456 of 16427 providers nationally (97th percentile) for that code and is described as notably above typical national volume for this code. That ranking positions the practice as a high-volume national participant for colonoscopy with biopsy relative to peers.

By contrast, the other top codes report volumes characterized as typical or unremarkable: 45385 (181 claims, $83.8K revenue) is described as typical, unremarkable volume for this code, and 43239 (248 claims, $57.8K revenue) is likewise described as typical, unremarkable volume for this code. These labels indicate that outside of the standout 45380 activity, the practice’s activity in related endoscopy services aligns with common peer patterns rather than indicating across-the-board dominance.

Screening codes appear in the mix and contribute measurable revenue: G0105 (52 claims, $22.2K) and G0121 (36 claims, $15.3K) indicate the center provides both high-risk and average-risk colorectal cancer screening colonoscopies. The presence of both screening and diagnostic/therapeutic codes suggests the center serves a combination of preventive screening and symptom-driven referrals.

The practice has a long tenure in the Medicare enrollment file, with the NPI enumerated on 2006-10-12 (~20 years ago). That longevity supports interpretation of the observed billing pattern as a sustained specialization rather than a short-term anomaly.

Operationally, the combination of concentrated Medicare revenue, a dominant single code (45380), and no Medicaid billing suggests limited payer diversification and a specialization in colonoscopy services; this profile is consistent with an endoscopy center that focuses on diagnostic and therapeutic lower-GI procedures while not participating in Medicaid billing.

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
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…	350	$390	$136.9K
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…	180	$460	$83.8K
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.	250	$230	$57.8K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	50	$430	$22.2K
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…	70	$290	$19.2K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	$420	$15.3K
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…	20	$330	$5.8K

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. Rhode Island Distribution

Bayside Endoscopy Center, LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	5	60	60	$310	$27.9K
45380	3	60	60	$210	$17.9K
43239	5	60	60	$130	$12.3K
G0105	6	40	20	$300	$10.8K
G0121	6	20	20	$310	$8.4K
43248	2	20	20	$200	$6.9K
45378	18	40	20	$200	$5.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bayside Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayside Endoscopy Center, LLC	RI	Endoscopy Clinic/Center	$1M	$553.2K
Bayside Endoscopy Center LLC	RI	Ambulatory Surgical Clinic/Center	$650.4K	$0
Thomas Sepe	RI	Gastroenterology Physician	$100K	$29.4K

Nearby Providers

Other providers in the same ZIP code as Bayside Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Center Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$170.9M
Re-focus Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$102.5M
Hopehealth Hospice & Palliative Care	RI	Community Based Hospice Care Agency	$0	$33.3M
Mas Medical Staffing	RI	Home Health Agency	$0	$24.5M
Generations Adult Day Health Center	RI	Adult Day Care Clinic/Center	$0	$16.3M
Prospect Chartercare Sjhsri, LLC	RI	General Acute Care Hospital	$0	$10.9M
Global Homecare And Staffing Inc	RI	Home Health Agency	$0	$8.3M
Emergency Care Services Of New England PC	RI	Emergency Medicine Physician	$0	$6.9M
State Of Rhode Island	RI	Clinical Medical Laboratory	$570	$6.4M
The Providence Center	RI	Community/Behavioral Health Agency	$0	$5.9M

Bayside Endoscopy Center, LLC — Billing Profile & Reimbursement Data

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Bayside Endoscopy Center, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References