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NPI 1346288032 · Mcallen, TX · Ambulatory Surgical Clinic/Center
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Endoscopy Center At Ridge Plaza LP is a ambulatory surgical clinic/center provider located in Mcallen, Texas. This profile covers 9 Medicare and 6 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 | Endoscopy Center At Ridge Plaza LP |
| Address | 1200 E Savannah Ave |
| City | Mcallen |
| State | TX |
| ZIP | 78503 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $564.3K |
| Medicare | $187.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 160 | $400 | $62.4K |
| 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. | 240 | $240 | $57.3K |
| 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… | 70 | $330 | $22.2K |
| 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… | 70 | $300 | $21.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $380 | $10.6K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $380 | $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… | 20 | $250 | $4.6K |
| 46500 | The provider injects a sclerosing solution into the submucosa of the lower part of the anus under a hemorrhoid. This procedure helps in reducing blood flow to the area and causes the hemorrhoid to… | 20 | $120 | $2.2K |
| 45330 | The provider examines the rectum and sigmoid colon with a flexible sigmoidoscope, a tubular instrument with a light source and camera, to determine the cause for a patient's symptoms, such as… | 10 | $80 | $870 |
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
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.
6 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. | 3,090 | $160 | $478.3K |
| 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… | 400 | $110 | $44.3K |
| 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… | 260 | $130 | $33.7K |
| 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… | 50 | $170 | $9.4K |
| 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 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2,470 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
6 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. | 4 | 160 | 80 | $160 | $64.7K |
| 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… | 8 | 40 | 70 | $190 | $49.6K |
| 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… | 8 | 20 | 50 | $130 | $17.7K |
| 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… | 2 | 10 | 40 | $150 | $16.6K |
| 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… | 3 | 140 | 110 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Endoscopy Center At Ridge Plaza LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Volver A Casa Home Health Services, Inc. | TX | Personal Care Attendant | $0 | $27M |
| Columbia Rio Grande Healthcare, L.P. | TX | General Acute Care Hospital | $0 | $17.7M |
| Med Care Emergency Medical Services Inc | TX | Ambulance | $1.2M | $10.9M |
| Omar Gonzalez | TX | Emergency Medicine Physician | $2M | $0 |
| Billie Marek | TX | Medical Oncology Physician | $1.6M | $0 |
| Abdulrahman Rageh | TX | Ophthalmology Physician | $956.9K | $429.9K |
| Sanjeeb Bhandari | TX | Ophthalmology Physician | $678.1K | $0 |
| Javier Leal | TX | Physical Therapist | $478.5K | $0 |
| Nyan Phyo | TX | Nephrology Physician | $350K | $0 |
| Enrique Griego | TX | Family Medicine Physician | $129.3K | $198.1K |
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