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NPI 1245352327 · Flowood, MS · Endoscopy Clinic/Center
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Gastrointestinal Associates Endoscopy Center, LLC is a endoscopy clinic/center provider located in Flowood, Mississippi. This profile covers 21 Medicare and 7 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 | Gastrointestinal Associates Endoscopy Center, LLC |
| Address | 2510 Lakeland Dr |
| City | Flowood |
| State | MS |
| ZIP | 39232 |
| Taxonomy | Endoscopy Clinic/Center |
| NPI Enumerated | April 6, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.4M |
| Medicare | $2.8M |
Payer mix and scale: This facility reports $2.8M in total Medicare revenue and $3.4M in total Medicaid revenue, indicating it bills both programs at comparable scale rather than being effectively single-payer. Both payers contribute material revenue streams to the operation, with Medicaid slightly larger in lifetime revenue.
Medicare revenue concentration: The top 3 Medicare codes by revenue account for 57.9% of this provider's total Medicare revenue, driven by 45385 ($656K, 23.7%), 45380 ($605.1K, 21.9%), and 43239 ($340.1K, 12.3%). This concentration shows a heavy dependence on a small set of endoscopic procedures for Medicare revenue.
Medicaid revenue concentration: The top 3 Medicaid codes by revenue account for 88.3% of this provider's total Medicaid revenue, concentrated in 43239 ($1.6M, 48.0%), 45380 ($1.1M, 31.4%), and 45385 ($297.3K, 8.9%). Medicaid billing is extremely concentrated in a few high-volume endoscopic codes, with nearly half of Medicaid revenue coming from a single code, 43239.
Business/service-line implications: The code mix — dominated by 45385, 45380, and 43239 across payers — is consistent with an endoscopy center focused on high-volume diagnostic and therapeutic gastrointestinal procedures (colonoscopies with polypectomy/biopsy and upper endoscopies with biopsy). The presence of screening-specific codes such as G0105 and G0121 on the Medicare side further indicates significant preventive and screening colonoscopy activity alongside diagnostic and therapeutic work.
Competitive standing — Medicare (national): For several of the top Medicare codes the provider ranks at the extreme top nationally (45385 rank #8 of 16310, 45380 rank #4 of 16427, 43239 rank #6 of 17140; all 100th percentile and labeled "extreme outlier"). These rankings indicate volumes far above typical national providers for the same CPTs and suggest this entity is a national outlier in colonoscopy/EGD throughput for Medicare.
Competitive standing — Medicaid (state): The provider is a statewide leader on key Medicaid codes: 43239 and 45380 both rank #1 in-state (100th percentile), and 45378 and 43248 also rank #1 in-state. Those in-state #1 ranks and “extreme outlier”/“notably above typical” labels show the center is a dominant Medicaid billing presence in Mississippi for core endoscopy services.
Notable ancillary services and variability: Medicare billing includes a non-GI procedure 64561 with $254K revenue and a high average paid/claim ($3528), ranked #54 of 564 (90th percentile), signaling the facility also bills some specialized interventional pain/neuromodulation work in addition to core endoscopy. The coexistence of high-volume diagnostic/therapeutic GI codes with occasional higher-reimbursement, lower-volume procedures suggests a mixed service portfolio.
Tenure and operational stability: The provider’s NPI was enumerated on 2007-04-06 (~19 years ago), indicating a long-established presence in the market; combined with the consistently high volumes and rankings across both payers, this suggests sustained operational scale rather than a recent surge in activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 1,560 | $420 | $656K |
| 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… | 1,720 | $350 | $605.1K |
| 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. | 1,670 | $200 | $340.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 790 | $390 | $307.3K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 70 | $3,530 | $254K |
| 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… | 680 | $240 | $166.2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 340 | $390 | $133.1K |
| 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… | 270 | $290 | $77.9K |
| 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. | 60 | $900 | $52.2K |
| 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… | 60 | $530 | $29.4K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
7 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. | 9,920 | $160 | $1.6M |
| 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… | 4,970 | $210 | $1.1M |
| 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… | 1,620 | $180 | $297.3K |
| 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… | 1,290 | $160 | $199.3K |
| 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… | 1,530 | $120 | $178.4K |
| 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… | 140 | $110 | $15.7K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 2,480 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
7 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. | 1 | 70 | 200 | $180 | $200.4K |
| 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… | 1 | 30 | 420 | $210 | $165.6K |
| 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… | 3 | 30 | 170 | $190 | $89.5K |
| 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… | 1 | 10 | 190 | $130 | $65.1K |
| 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… | 1 | 30 | 80 | $200 | $58K |
| 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… | 1 | 10 | 80 | $110 | $8.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 8 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Gastrointestinal Associates Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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