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NPI 1366449910 · Springfield, OR · Ambulatory Surgical Clinic/Center
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Oregon Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Springfield, Oregon. This profile covers 10 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 | Oregon Endoscopy Center, LLC |
| Address | 3355 Riverbend Dr |
| City | Springfield |
| State | OR |
| ZIP | 97477 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $919.2K |
OREGON ENDOSCOPY CENTER, LLC bills exclusively as an Ambulatory Surgical Clinic/Center and its top CPT mix (45385, 45380, 43239) is consistent with a high-volume GI endoscopy practice focused on colonoscopy with polypectomy and diagnostic/therapeutic upper endoscopy with biopsy. The presence of screening codes G0105 and G0121 in the Medicare mix further signals a steady workflow of both high-risk and average-risk colorectal screening procedures within the facility.
Revenue is highly concentrated within a handful of endoscopy codes: the provider’s top 3 Medicare codes account for 73.0% of total Medicare revenue, and the top 3 Medicaid codes account for 82.7% of total Medicaid revenue, indicating most billing and revenue exposure is tied to a narrow set of procedural services. Overall scale differs sharply by payer: total Medicare revenue is $919.2K while total Medicaid revenue is $5.6M, so Medicaid represents the much larger revenue stream for this provider.
On Medicare the provider is a national outlier for core colonoscopy codes: 45385 generates $301.4K (32.8% of this provider's Medicare revenue) and ranks #220 of 16310 providers nationally (99th percentile; extreme outlier), and 45380 generates $258.6K (28.1%) and ranks #107 of 16427 (99th percentile; extreme outlier). The upper endoscopy code 43239 also appears notably above typical national volume with $111.1K (12.1%) and a rank of #356 of 17140 (98th percentile; notably above typical national volume), underscoring unusually high Medicare procedural throughput compared with national peers.
The provider holds a dominant position in-state for Medicaid colonoscopy volume: 45380 reports 5.6K claims and $1.9M revenue (33.0% of this provider's Medicaid revenue) and ranks #1 of 51 providers in-state (100th percentile; extreme outlier), while 43239 reports 4.9K claims and $1.5M revenue (26.2%) and ranks #2 of 60 (98th percentile; extreme outlier). 45385 likewise shows very large Medicaid volume (3.4K claims, $1.3M, 23.4%) and ranks #2 of 38 (97th percentile; notably above typical state volume), signaling this center is a major statewide provider of both diagnostic and therapeutic endoscopic services.
The Medicaid claim volumes reported for flagship codes imply very high procedural throughput: 45380 has 5.6K claims ($335 avg paid/claim) and 43239 has 4.9K claims ($301 avg paid/claim), which aligns with the $5.6M total Medicaid revenue figure and supports the characterization of this site as a high-volume outpatient endoscopy hub. Those same codes drive the majority of Medicaid revenue (the precomputed top-3 share is 82.7%), concentrating payer risk and operational reliance on colonoscopy and EGD services.
Medicare screening activity is also visible in the provider’s billing: G0105 (colonoscopy for high-risk individuals) appears 196 times for $88.4K (9.6% of Medicare revenue) and ranks notably above typical national volume (98th percentile), while G0121 (non-high-risk screening) shows 119 claims for $53.2K (5.8%) and a 97th percentile rank. This mix indicates the facility handles both diagnostic/surveillance and screening colonoscopies for the Medicare population, contributing meaningfully to its Medicare revenue base.
The provider has a long tenure in the NPI registry, enumerated 2005-06-28 (~21 years ago), suggesting established operations and likely sustained referral relationships or ownership of procedural capacity that support the high volumes observed across both payers. Longevity combined with concentrated procedural billing patterns points to an operational focus on steady ambulatory endoscopy throughput rather than diversifying into many unrelated service lines.
Average paid-per-claim patterns are consistent with an outpatient endoscopy center: on Medicare the top codes show average payments of $490 (45385), $378 (45380), and $248 (43239), while on Medicaid the top codes show $335 (45380), $301 (43239), and $389 (45385). Together with the code-level revenue shares (e.g., 45385 represents 32.8% of Medicare revenue and 45380 represents 33.0% of Medicaid revenue for this provider), these figures reinforce a business model concentrated on high-volume colonoscopy and upper endoscopy procedures with substantial differences in scale between Medicare and Medicaid payers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 620 | $490 | $301.4K |
| 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… | 680 | $380 | $258.6K |
| 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. | 450 | $250 | $111.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 200 | $450 | $88.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 120 | $450 | $53.2K |
| 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. | 70 | $620 | $44.9K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 70 | $280 | $18.1K |
| 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… | 50 | $290 | $15.4K |
| 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. | 50 | $270 | $14.1K |
| 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… | 50 | $310 | $14.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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 |
|---|---|---|---|---|
| 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… | 5,560 | $340 | $1.9M |
| 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. | 4,920 | $300 | $1.5M |
| 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… | 3,400 | $390 | $1.3M |
| 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… | 2,010 | $470 | $954.6K |
| 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. | 80 | $230 | $19.6K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 20 | $190 | $2.8K |
| 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… | 1,490 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2 | 40 | 310 | $420 | $325.7K |
| 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. | 2 | 60 | 350 | $260 | $251.9K |
| 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 | 50 | 200 | $370 | $238.2K |
| 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… | 1 | 30 | 70 | $390 | $111.2K |
| 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. | 1 | 10 | 80 | $230 | $19.5K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 1 | 10 | 20 | $190 | $2.8K |
| 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… | 6 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Oregon Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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