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NPI 1346303039 · Concord, NH · Endoscopy Clinic/Center
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Concord Endoscopy Center LLC is a endoscopy clinic/center provider located in Concord, New Hampshire. This profile covers 8 Medicare and 5 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 | Concord Endoscopy Center LLC |
| Address | 60 Commercial St Ste 201 |
| City | Concord |
| State | NH |
| ZIP | 03301 |
| Taxonomy | Endoscopy Clinic/Center |
| NPI Enumerated | December 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $490.4K |
| Medicaid | $94.1K |
CONCORD ENDOSCOPY CENTER LLC is a dedicated endoscopy clinic/center by taxonomy and its Medicare and Medicaid CPT mix confirms a procedural focus on GI endoscopy, with high-volume colonoscopy with polypectomy (45385), diagnostic/biopsy upper endoscopy (43239), and colonoscopy with biopsy (45380/45378) dominating its billed services. The presence of both screening codes G0105 and G0121 on Medicare suggests it also performs colorectal cancer screening for both high-risk and non-high-risk patients, reinforcing a service-line built around preventive and diagnostic GI procedures.
Medicare revenue is substantially larger than Medicaid for this provider: Total Medicare revenue is $490.4K versus Total Medicaid revenue of $94.1K, indicating Medicare is the primary payer by scale for its operations and that Medicaid represents a smaller portion of overall billed revenue. Analysts should treat this as a Medicare-weighted ambulatory endoscopy practice when assessing payer exposure and reimbursement sensitivity.
Revenue concentration is high on both payers. Precomputed metrics show the top 3 Medicare codes account for 78.1% of the provider's total Medicare revenue, signaling dependence on a narrow set of colonoscopy and upper endoscopy procedures. Similarly, the top 3 Medicaid codes account for 89.2% of Medicaid revenue, indicating even greater concentration of state-payer billing into a handful of endoscopy codes.
45385 is the single largest Medicare revenue driver at $236.3K (48.2% of Medicare revenue) and the provider ranks #299 nationally (98th percentile) for this code — labeled an extreme outlier — which signals unusually high national volume for polypectomy-level colonoscopies compared with peers. This national standing suggests the center is a regional/national outlier in delivering therapeutic colonoscopy services and may serve a referral base or maintain high procedural throughput for polypectomy cases.
43239 is the top Medicaid code by revenue ($39K, 41.4% of Medicaid revenue) and also appears on Medicare ($45.2K, 9.2% of Medicare revenue) indicating the center performs a substantial number of diagnostic upper endoscopies across both payers. On Medicaid this code ranks #13 of 26 in-state (52nd percentile), which is a middling in-state position; by contrast its Medicare rank for 43239 is #1922 nationally (89th percentile), a typical volume nationally, suggesting stronger relative specialization in colon procedures versus upper endoscopy.
Other Medicare codes such as 45378 ($57.3K, 11.7% Medicare revenue) and 45380 ($89.3K, 18.2% Medicare revenue) also rank at very high percentiles (45378 at the 99th percentile, extreme outlier; 45380 at the 95th percentile), reinforcing that multiple colonoscopy-level services are performed at volumes well above typical national peers. This pattern supports the interpretation of the center as a high-throughput colonoscopy provider rather than a general outpatient clinic.
Competitive standing differs by payer and code: nationally, the provider is a dominant outlier on certain Medicare colonoscopy codes (notably 45385 and 45378 ranked in the 98th–99th percentiles), whereas its Medicaid ranking for top codes is generally typical to modest in-state (e.g., 45385 ranks #3 of 12 in-state, 82nd percentile, and 43239 ranks #13 of 26, 52nd percentile). This split suggests strong national-scale performance on specialized therapeutic colonoscopy claims to Medicare, but more modest market share within the state Medicaid pool.
The NPI was enumerated around 2006-12-18 (~20 years ago), indicating a long tenure in the market. The combination of sustained enrollment and concentrated high-volume procedural billing is consistent with an established ambulatory endoscopy center that has built procedural capacity and referral relationships over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 510 | $470 | $236.3K |
| 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… | 240 | $380 | $89.3K |
| 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… | 170 | $330 | $57.3K |
| 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. | 180 | $260 | $45.1K |
| 43249 | The 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. | 40 | $580 | $23.2K |
| 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. | 60 | $260 | $15K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 30 | $430 | $13.8K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $430 | $10.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
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.
5 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. | 220 | $170 | $39K |
| 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… | 170 | $180 | $31.6K |
| 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… | 60 | $230 | $13.3K |
| 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… | 40 | $290 | $10.2K |
| 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… | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire median
5 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. | 13 | 30 | 210 | $200 | $104.6K |
| 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… | 10 | 20 | 70 | $230 | $39K |
| 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 | 10 | 120 | $260 | $33.2K |
| 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… | 2 | 10 | 30 | $340 | $9.1K |
| 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 | 10 | 120 | $0 | $0 |
Other providers in the same ZIP code as Concord Endoscopy Center LLC, ranked by combined Medicare and Medicaid revenue.
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