Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bergen Gastroenterology PC (NPI 1447457403)

Field	Value
Entity Type	Organization
Organization	Bergen Gastroenterology PC
Address	466 Old Hook Rd
City	Emerson
State	NJ
ZIP	07630
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 2, 2007

Payer Source	Total Paid
Medicare	$393.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 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…	200	$460	$91.7K
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.	230	$370	$83.6K
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…	150	$540	$79.8K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	140	$490	$69.7K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	80	$490	$38K
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…	60	$390	$21.7K
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.	10	$690	$7.6K
46930	The provider destroys internal hemorrhoids by thermal techniques such as infrared coagulation, cauterization, or radiofrequency.	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Bergen Gastroenterology PC — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	53	560	50	$320	$25.4K
45380	50	590	60	$230	$21.3K
43239	51	610	80	$160	$18.5K
G0105	40	280	30	$320	$13.9K
G0121	9	290	20	$330	$11.4K
43249	40	40	20	$350	$7.4K
45378	37	340	20	$220	$6.7K
46930	3	10	20	$130	$2.5K

Nearby Providers

Other providers in the same ZIP code as Bergen Gastroenterology PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeff Chung	NJ	Rheumatology Physician	$407.7K	$0
Vasiliki Saitas	NJ	Anatomic Pathology & Clinical Pathology Physician	$334.4K	$0
Odessa Hoinkis	NJ	Family Medicine Physician	$322K	$0
Vivian Bethala	NJ	Specialist	$228.2K	$0
Joseph Fishkin	NJ	Ophthalmology Physician	$173K	$0
Stephen Zoretic	NJ	Urology Physician	$159.9K	$0
Justin Mendoza	NJ	Physical Medicine & Rehabilitation Physician	$126.3K	$0
Frank Mastrianno	NJ	Internal Medicine Physician	$112.2K	$0
William Cantor	NJ	Otolaryngology Physician	$94.2K	$0
Anil Patel	NJ	Anesthesiology Physician	$82.4K	$0

Bergen Gastroenterology PC — Billing Profile & Reimbursement Data

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Bergen Gastroenterology PC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References