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NPI 1396260931 · Lexington, KY · Ambulatory Surgical Clinic/Center
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Colorectal Surgical & Gastroenterology Associates Psc is a ambulatory surgical clinic/center provider located in Lexington, Kentucky. This profile covers 12 Medicare and 4 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 | Colorectal Surgical & Gastroenterology Associates Psc |
| Address | 2620 Wilhite Dr |
| City | Lexington |
| State | KY |
| ZIP | 40503 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 4, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $964.3K |
| Medicare | $832.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 920 | $410 | $374.6K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 360 | $400 | $143.2K |
| 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. | 230 | $300 | $70.6K |
| 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… | 140 | $420 | $56K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 10 | $3,640 | $47.3K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 120 | $400 | $47.2K |
| 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… | 110 | $320 | $33.4K |
| 45390 | The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope. | 20 | $880 | $19.4K |
| 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. | 60 | $300 | $17.9K |
| 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. | 30 | $560 | $13.9K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 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.
4 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… | 1,520 | $290 | $439.6K |
| 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… | 1,210 | $290 | $348.8K |
| 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. | 490 | $240 | $117.4K |
| 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… | 210 | $280 | $57.7K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
4 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. | 125 | 170 | 1,300 | $230 | $441K |
| 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 | 120 | 300 | $320 | $215.2K |
| 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… | 11 | 110 | 230 | $340 | $175.7K |
| 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… | 7 | 90 | 170 | $400 | $145.8K |
Other providers in the same ZIP code as Colorectal Surgical & Gastroenterology Associates Psc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Baptist Healthcare System, Inc | KY | General Acute Care Hospital | $0 | $98.1M |
| Encore Adhc, LLC | KY | Adult Day Care Clinic/Center | $0 | $51.9M |
| Center For Comprehensive Services, Inc | KY | Rehabilitation Hospital | $0 | $28.7M |
| Lhcg Lxx, LLC | KY | Home Health Agency | $0 | $27.1M |
| P & C Labs, LLC | KY | Clinical Medical Laboratory | $427.3K | $18M |
| Healthfirst Bluegrass Inc | KY | Federally Qualified Health Center (FQHC) | $0 | $18.1M |
| Ndt Care Services, LLC | KY | Community/Behavioral Health Agency | $0 | $17.5M |
| Lexington Urgent Care PLLC | KY | Urgent Care Clinic/Center | $0 | $16.7M |
| Ballard Wright, Md, Psc | KY | Interventional Pain Medicine Physician | $0 | $12.4M |
| Big Smiles Kentucky Psc | KY | Dentist | $0 | $12.3M |
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