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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Gwinnett Endoscopy Center, PC (NPI 1194761908)

Field	Value
Entity Type	Organization
Organization	Gwinnett Endoscopy Center, PC
Address	301 Philip Blvd
City	Lawrenceville
State	GA
ZIP	30046
Taxonomy	Endoscopy Clinic/Center
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicare	$380.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	290	$450	$132K
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.	300	$230	$69.5K
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…	180	$360	$63.7K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	90	$410	$37K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	90	$410	$36.6K
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…	50	$310	$14.4K
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…	40	$330	$11.9K
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.	20	$580	$9.8K
45381	The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…	20	$230	$4.1K
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	20	$80	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Gwinnett Endoscopy Center, PC — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	26	470	60	$290	$26.6K
45380	47	470	40	$200	$14.8K
43239	28	490	70	$120	$11.9K
G0105	30	300	30	$270	$11.8K
46221	34	40	30	$190	$8.2K
43248	34	120	30	$180	$8.1K
G0121	10	260	20	$270	$8K
43249	88	130	20	$240	$7.4K
45378	59	280	20	$190	$5.6K
45381	16	50	20	$160	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gwinnett Physician Group, LLC	GA	Internal Medicine Physician	$0	$8.3M
Ivy League Pediatrics	GA	Pediatrics Physician	$0	$4.8M
Amazing Care Agency Inc	GA	Home Health Agency	$0	$3.7M
Gwinnett County Board Of Commissioners	GA	Ambulance	$3.4M	$2K
Psychiatric Services Of America	GA	Psychiatry Physician	$0	$2.5M
View Point Health	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M
Uhs Of Summitridge, LLC	GA	Psychiatric Hospital	$0	$1.8M
Lawrenceville Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Georgia Interventional Pain LLC	GA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Gwinnett Psychiatry, P.C.	GA	Adolescent and Children Mental Health Clinic/Center	$0	$1.3M

Gwinnett Endoscopy Center, PC — Billing Profile & Reimbursement Data

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Gwinnett Endoscopy Center, PC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References