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    OpenPayerNPI Medicare & MedicaidIrvine Endoscopy Partners LLC
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    Irvine Endoscopy Partners LLC — Billing Profile & Reimbursement Data

    NPI 1447608088 · Irvine, CA · Ambulatory Surgical Clinic/Center

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    Irvine Endoscopy Partners LLC is a ambulatory surgical clinic/center provider located in Irvine, California. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationIrvine Endoscopy Partners LLC
    Address16405 Sand Canyon Ave
    CityIrvine
    StateCA
    ZIP92618
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 24, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$981.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The 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…710$450$318.8K
    43239The 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.800$260$210.6K
    45385The 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…380$530$200.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk230$480$110.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk130$480$60.5K
    43249The 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.50$670$31.3K
    45378The 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$370$21.6K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.40$310$12.4K
    43235The 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.20$310$7.5K
    45381The 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$300$7.1K

    Medicare: Competitive Analysis & Benchmarks

    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

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385411,41060$340$33.9K
    45380171,46060$230$23.8K
    4323961,50080$150$17.3K
    G01053865030$340$14.8K
    G0121471020$340$12.7K
    432493327020$310$9.1K
    4537810380020$220$7.5K
    43450267030$170$6.9K
    453817423020$160$4.7K
    4323521357020$130$3.6K

    Nearby Providers

    Other providers in the same ZIP code as Irvine Endoscopy Partners LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mdxhealth, Inc.CAClinical Medical Laboratory$24M$797.5K
    Biognomics Lab, LLCCAClinical Laboratory Director (Non-physician)$16.4M$235.6K
    Shoreline Diagnostics LLCCAClinical Medical Laboratory$6.2M$9.6M
    Agendia IncCAClinical Medical Laboratory$10.2M$5.1M
    Cap Diagnostics LLCCAClinical Medical Laboratory$3.4M$10.8M
    Healthquest Esoterics IncCAClinical Medical Laboratory$159K$6.7M
    Specialty Surgical Center Of Irvine LPCAAmbulatory Surgical Clinic/Center$1.1M$1.4M
    Fang YuCAGastroenterology Physician$121.8K$2.1M
    Emeritus Medical Technology LLCCAClinical Medical Laboratory$1.9M$20.8K
    Sandeep ThakkarCANeurology Physician$1.4M$92.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Irvine Endoscopy Partners LLC — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California