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    OpenPayerNPI Medicare & MedicaidHoward County Gastrointestinal Diagnostic Ctr, LLC
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    Howard County Gastrointestinal Diagnostic Ctr, LLC — Billing Profile & Reimbursement Data

    NPI 1336159284 · Columbia, MD · Endoscopy Clinic/Center

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    Howard County Gastrointestinal Diagnostic Ctr, LLC is a endoscopy clinic/center provider located in Columbia, Maryland. This profile covers 13 Medicare and 3 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)

    FieldValue
    Entity TypeOrganization
    OrganizationHoward County Gastrointestinal Diagnostic Ctr, LLC
    Address10710 Charter Dr
    CityColumbia
    StateMD
    ZIP21044
    TaxonomyEndoscopy Clinic/Center
    NPI EnumeratedAugust 9, 2006

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

    Payer SourceTotal Paid
    Medicare$900.9K
    Medicaid$13.4K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…640$370$234.9K
    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…510$440$227.7K
    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.640$220$140.2K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk270$410$111.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk200$410$83.6K
    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…120$330$37.6K
    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…30$590$15.8K
    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.60$230$13.9K
    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.20$560$13.4K
    45331In 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…30$310$9.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385936080$310$35.6K
    453801337070$220$26.4K
    43239938080$140$17.7K
    G0105522030$300$17.3K
    43251143020$360$13K
    G0121222030$290$12.1K
    43249256020$280$9.1K
    43248323030$200$9.1K
    45378722030$210$8.2K
    4533122020$280$5.4K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient 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…150$50$6.6K
    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.110$50$5.4K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis90$20$1.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.4990160$90$55.8K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis275090$70$28.2K
    G8907Patient 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…3890110$30$11.9K

    Nearby Providers

    Other providers in the same ZIP code as Howard County Gastrointestinal Diagnostic Ctr, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carmen SalvaterraMDPulmonary Disease Physician$8.9M$0
    Psychogeriatric Services LLCMDPsychiatry Physician$0$7.5M
    Edwin Zaghi Dmd PCMDPediatric Dentistry$0$7.3M
    Ellicott City Primary Care Physicians, PAMDPediatrics Physician$0$7.1M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$5.1M
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    American Neuromonitoring Associates, PCMDNeurology Physician$0$4.5M
    Howard County General Hospital, Inc,MDGeneral Acute Care Hospital$0$4.5M
    Andrew MenerMDHematology & Oncology Physician$3.5M$0
    Edward LeeMDMedical Oncology Physician$1.9M$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Howard County Gastrointestinal Diagnostic Ctr, LLC — 7 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Howard County Gastrointestinal Diagnostic Ctr, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland