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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

American Endoscopy Center, P.C. (NPI 1528053311)

Field	Value
Entity Type	Organization
Organization	American Endoscopy Center, P.C.
Address	1308 Briarville Rd
City	Madison
State	TN
ZIP	37115
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 17, 2005

Payer Source	Total Paid
Medicare	$8.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45190	In this procedure, the provider destroys a tumor in the rectum, or the end part of the large intestine that connects to the anus using a transanal approach, through the anus. He chooses from a…	10	$770	$8.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

American Endoscopy Center, P.C. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45190	2	10	10	$610	$7.3K

Nearby Providers

Other providers in the same ZIP code as American Endoscopy Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiley Tooth Spa, Inc	TN	General Practice Dentistry	$0	$5.2M
Safe Entry, Inc	TN	Adult Day Care Clinic/Center	$0	$4.9M
Adoration Hospice, LLC	TN	Community Based Hospice Care Agency	$0	$2.7M
Ellenbecker And Borsellino PLLC	TN	Speech-Language Pathologist	$0	$2.2M
Integrity Ems LLC	TN	Ambulance	$368.7K	$2K
Shekeiria Stokes-mannie	TN	Family Nurse Practitioner	$40.3K	$0
Waeemany Lowery	TN	Family Nurse Practitioner	$20.7K	$0
Mene Zua	TN	Gastroenterology Physician	$14.1K	$0
Stephanie Helton	TN	Audiologist	$11K	$0
Hollie Bauman	TN	Critical Care Medicine Registered Nurse	$4.5K	$0

American Endoscopy Center, P.C. — Billing Profile & Reimbursement Data

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American Endoscopy Center, P.C. — Billing Profile & Reimbursement Data

Sign up for American Endoscopy Center, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References