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    OpenPayerNPI Medicare & MedicaidEndoscopy Center Of Middle Georgia LLC
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    Endoscopy Center Of Middle Georgia LLC — Billing Profile & Reimbursement Data

    NPI 1215915939 · Macon, GA · Ambulatory Surgical Clinic/Center

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    Endoscopy Center Of Middle Georgia LLC is a ambulatory surgical clinic/center provider located in Macon, Georgia. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEndoscopy Center Of Middle Georgia LLC
    Address610 Third Street
    CityMacon
    StateGA
    ZIP31201
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$713.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The 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…450$420$192.1K
    43239The 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.730$210$155.6K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk210$400$84.4K
    45378The 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…230$300$69.1K
    45380The 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…190$360$67.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk160$400$61.7K
    43248The 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…200$270$51.9K
    43249The 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.30$550$14.3K
    43251An 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…20$540$10.2K
    43235The 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.20$230$5.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851247060$290$26.6K
    453804347040$200$14.8K
    43239249070$120$11.9K
    G0105530030$270$11.8K
    43248312030$180$8.1K
    G0121226020$270$8K
    432495813020$240$7.4K
    4325132020$380$5.7K
    45378328020$190$5.6K
    432357321020$110$2.9K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Services Of Central Georgia, IncGAMulti-Specialty Clinic/Center$0$18.5M
    Central Georgia Emergency Group, LLCGAEmergency Medicine Physician$0$8.8M
    Middle Georgia PediatricsGAPediatric Adolescent Medicine Physician$0$4.2M
    Linda HendricksGASpecialist$3.1M$0
    Mgas Holdings, LLCGAAmbulance$2.5M$36.9K
    Marcus WeldonGAHematology & Oncology Physician$2.5M$0
    Cogent Healthcare Of Macon, LLCGAInternal Medicine Physician$0$1.8M
    Central Georgia Pediatrics, Inc.GAPediatric Adolescent Medicine Physician$0$1.6M
    Alan JusticeGAInternal Medicine Physician$1.4M$0
    Central Georgia Pet LLCGARadiation Oncology Physician$1.4M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Endoscopy Center Of Middle Georgia LLC — 6 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia