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    OpenPayerNPI Medicare & MedicaidEndoscopy Center Of Knoxville LP
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    Endoscopy Center Of Knoxville LP — Billing Profile & Reimbursement Data

    NPI 1508845942 · Knoxville, TN · Ambulatory Surgical Clinic/Center

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    Endoscopy Center Of Knoxville LP is a ambulatory surgical clinic/center provider located in Knoxville, Tennessee. This profile covers 11 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
    OrganizationEndoscopy Center Of Knoxville LP
    Address11440 Parkside Dr
    CityKnoxville
    StateTN
    ZIP37934
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 13, 2006

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

    Payer SourceTotal Paid
    Medicare$488.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…640$400$251.9K
    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.300$200$61.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk160$370$57.7K
    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…180$280$49.2K
    43248The 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…100$240$23.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk50$370$17.9K
    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…40$250$10.4K
    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.30$230$6.6K
    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$240$4.4K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.20$230$4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    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

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385432060$260$27.1K
    453802732040$190$15.3K
    G0105820040$250$13.1K
    432391334070$110$11.2K
    43450779040$140$9.6K
    G01212918020$250$8.7K
    43248911040$150$7.9K
    453785423020$170$5.7K
    432359722030$110$4.4K
    4538162010$120$2.1K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Endoscopy Center Of Knoxville LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Endoscopy Center Of Knoxville LPTNAmbulatory Surgical Clinic/Center$1M$0

    Nearby Providers

    Other providers in the same ZIP code as Endoscopy Center Of Knoxville LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Tennessee Children's Hospital Association, IncTNDurable Medical Equipment & Medical Supplies$0$20.3M
    Matthew ColeTNOphthalmology Physician$3.3M$0
    Otolaryngology Head And Neck Surgery AssociatesTNSpecialist$0$2.3M
    Sara DajaniTNFamily Nurse Practitioner$1.6M$0
    Eric RedmonTNFamily Medicine Physician$217.4K$643.2K
    Michael CollierTNInternal Medicine Physician$244.4K$0
    Nilamkumar PatelTNClinical Cardiac Electrophysiology Physician$227.9K$0
    Kimberly LoweTNFamily Nurse Practitioner$204.6K$0
    Harold SilverTNGastroenterology Physician$199.2K$100
    Kyler ThomasTNFoot & Ankle Surgery Podiatrist$194.9K$0

    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. Tennessee Distribution
    Endoscopy Center Of Knoxville LP — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee