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

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

Main Line PA Endoscopy Asc LP (NPI 1235239054)

Field	Value
Entity Type	Organization
Organization	Main Line PA Endoscopy Asc LP
Address	333 E City Line Ave
City	Bala Cynwyd
State	PA
ZIP	19004
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicare	$635.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 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…	560	$460	$258.4K
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…	430	$370	$158.8K
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.	380	$240	$92.3K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	130	$420	$54.1K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	120	$420	$49.1K
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	$13.9K
43235	The 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	$210	$4.1K
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	$290	$3.2K
G0104	Colorectal cancer screening; flexible sigmoidoscopy	10	$150	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Main Line PA Endoscopy Asc LP — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	16	860	50	$290	$24.3K
45380	9	840	40	$180	$12.5K
G0105	32	500	30	$270	$12.4K
43239	20	880	50	$130	$9.6K
G0121	10	380	20	$270	$8.1K
43248	110	110	30	$170	$6.9K
45378	38	390	20	$190	$4.6K
43235	192	410	20	$120	$3.2K
G0104	7	10	10	$140	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Main Line PA Endoscopy Asc LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Main Line PA Endoscopy Asc LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$104.4M
Preferred Home Health Care & Nursing Services Inc	PA	Home Health Agency	$0	$30.8M
365 Health Services LLC	PA	Home Health Agency	$0	$26.7M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$21.8M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$17.8M
Behavior Analysis & Therapy Partners	PA	Psychologist	$0	$9.8M
Clinical Care Associates Of The University Of Pennsylvania Health Syst	PA	Hospitalist Physician	$0	$9.4M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	Home Health Agency	$0	$6.5M
Main Line Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$4.7M	$57.7K
Carolyn Glazer-hockstein	PA	Ophthalmology Physician	$1.8M	$0

Main Line PA Endoscopy Asc LP — Billing Profile & Reimbursement Data

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Main Line PA Endoscopy Asc LP — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References