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NPI 1417916800 · Tulsa, OK · Ambulatory Surgical Clinic/Center
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Tulsa Ok Endoscopy Asc LLC is a ambulatory surgical clinic/center provider located in Tulsa, Oklahoma. This profile covers 11 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Tulsa Ok Endoscopy Asc LLC |
| Address | 4200 E Skelly Dr |
| City | Tulsa |
| State | OK |
| ZIP | 74135 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $143.8K |
TULSA OK ENDOSCOPY ASC LLC’s billing mix is concentrated in GI endoscopic procedures: its highest Medicare revenue items are 45385, 43249 and 43239, which correspond to colonoscopic polypectomy, EGD with dilation, and EGD with biopsy respectively. The presence of both therapeutic (polypectomy/snare) and diagnostic (biopsy, dilation) codes — plus screening codes G0105 and G0121 appearing in the Medicare mix — indicates the facility operates as an ambulatory endoscopy center providing same‑day diagnostic, therapeutic, and screening services.
Revenue concentration on Medicare is high: the top 3 Medicare codes (45385, 43249, 43239) account for 63.8% of this provider's total Medicare revenue, and the three individual code revenues reported (e.g., $407.1K for 45385, $200.3K for 43249, $196.7K for 43239) together drive the majority of the $1.3M in Medicare receipts. This concentration implies that shifts in reimbursement or referral patterns for a small number of GI procedures would materially affect overall Medicare revenue.
Medicaid activity is narrowly focused: the top 3 Medicaid codes (43239, 45380, 45385) account for 100.0% of the provider's $143.8K in Medicaid revenue, with 43239 alone representing $118.6K (82.6% of Medicaid revenue). Medicaid billing is therefore almost entirely derived from a small set of endoscopic procedures, suggesting limited Medicaid service-line diversity or limited participation across other covered services.
Payer mix is Medicare‑dominant in scale: the provider reports $1.3M in total Medicare revenue versus $143.8K in total Medicaid revenue, indicating Medicare is the primary payer by dollar volume for this ASC. Operational and contracting strategies are likely to be driven by Medicare volumes and reimbursements given that Medicare receipts are an order of magnitude larger than Medicaid receipts.
National competitive standing on key Medicare codes is exceptional: 45385 ranks #54 of 16310 providers (100th percentile; extreme outlier), 43249 ranks #3 of 3500 providers (100th percentile; extreme outlier), and 43239 ranks #35 of 17140 providers (100th percentile; extreme outlier). These rank/percentile labels show the center is a very high‑volume national outlier for several major endoscopy procedures and functions as a dominant provider for those services relative to national peers.
In-state competitive position for Medicaid is more modest. For Medicaid claims, 43239 ranks #9 of 72 providers in-state (89th percentile; typical, unremarkable volume), 45380 ranks #13 of 33 (63rd percentile; typical, unremarkable volume), and 45385 ranks #13 of 13 (0th percentile; typical, unremarkable volume), indicating the facility is a reasonable participant in Medicaid endoscopy within Oklahoma but not a clear statewide leader across all Medicaid endoscopy codes.
The provider has an established operating history: its NPI was enumerated on 2006-03-22 (~20 years ago), which supports interpretation of the high Medicare procedural volumes as the output of a mature ambulatory surgical center rather than a new entrant. Longevity combined with concentrated high volumes on particular codes suggests stable referral or capture patterns for GI procedures.
Concentration and percentile signals together highlight operational sensitivity: multiple Medicare codes are labeled as "extreme outlier" or "notably above typical" (e.g., 45385, 43249, 43239 and 43251), meaning this ASC outperforms typical national volumes for its main services. While this denotes competitive strength, it also means payer negotiations, local referral shifts, or changes in coverage policy for a few high‑revenue GI codes could disproportionately affect the center's revenue streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,030 | $400 | $407.1K |
| 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. | 390 | $520 | $200.3K |
| 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. | 1,040 | $190 | $196.7K |
| 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… | 600 | $310 | $182.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 330 | $370 | $121.7K |
| 43251 | An 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… | 110 | $530 | $59.4K |
| 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… | 140 | $280 | $38.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 90 | $370 | $31.6K |
| 46221 | In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack… | 80 | $130 | $10.3K |
| 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 | $250 | $5.9K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 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.
3 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. | 890 | $130 | $118.6K |
| 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… | 100 | $240 | $24K |
| 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… | 10 | $80 | $970 |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
3 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. | 9 | 70 | 190 | $200 | $78.8K |
| 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… | 13 | 30 | 50 | $350 | $65.9K |
| 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… | 13 | 10 | 100 | $290 | $62.7K |
Other providers in the same ZIP code as Tulsa Ok Endoscopy Asc LLC, ranked by combined Medicare and Medicaid revenue.
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