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NPI 1548274475 · Auburn, MA · Endoscopy Clinic/Center
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Reliant Medical Group The Endoscopy Center, LLC is a endoscopy clinic/center provider located in Auburn, Massachusetts. This profile covers 10 Medicare and 11 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 | Reliant Medical Group The Endoscopy Center, LLC |
| Address | 4 Brotherton Way |
| City | Auburn |
| State | MA |
| ZIP | 01501 |
| Taxonomy | Endoscopy Clinic/Center |
| NPI Enumerated | July 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $530.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 340 | $410 | $137.7K |
| 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… | 270 | $470 | $129.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 220 | $430 | $95.7K |
| 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. | 270 | $280 | $74.7K |
| 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… | 90 | $330 | $30.7K |
| 43235 | The 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. | 80 | $290 | $22.8K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 50 | $420 | $22.5K |
| 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… | 30 | $280 | $8.9K |
| 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 | $610 | $6.7K |
| 45330 | The provider examines the rectum and sigmoid colon with a flexible sigmoidoscope, a tubular instrument with a light source and camera, to determine the cause for a patient's symptoms, such as… | 10 | $100 | $1.3K |
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
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.
11 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. | 2,560 | $220 | $571.1K |
| 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… | 1,480 | $250 | $374K |
| 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… | 750 | $220 | $166.1K |
| 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… | 570 | $280 | $160.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 480 | $260 | $125.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 250 | $200 | $50.1K |
| 43235 | The 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. | 40 | $220 | $9.7K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 20 | $1 | $20 |
| 99153 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice… | 10 | $0 | $0 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 120 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
11 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. | 24 | 120 | 530 | $450 | $681.5K |
| 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… | 18 | 100 | 260 | $550 | $524.4K |
| 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… | 38 | 100 | 230 | $600 | $511.3K |
| 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… | 18 | 70 | 160 | $620 | $428.7K |
| 43235 | The 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. | 24 | 40 | 110 | $570 | $258.3K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 4 | 30 | 70 | $520 | $118K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 4 | 20 | 60 | $430 | $63.3K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 55 | 70 | 180 | $1 | $5.6K |
| 99153 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice… | 33 | 40 | 210 | $1 | $1.9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 27 | 40 | 350 | $1 | $560 |
Showing 1–10 of 11
Other providers in the same ZIP code as Reliant Medical Group The Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Caregiver Homes Of Massachusetts, Inc | MA | Case Management Agency | $0 | $597.8M |
| T&n Reliable Nursing Care, LLC Ma | MA | Home Health Agency | $0 | $29.9M |
| Life Choice Hospice Of Western Massachusetts LLC | MA | Community Based Hospice Care Agency | $0 | $7.8M |
| Reema Dhingra Dmd PC | MA | Pediatric Dentistry | $0 | $6M |
| Town Of Auburn | MA | Land Ambulance | $361.9K | $964.4K |
| Dennis Murphy | MA | Internal Medicine Physician | $158K | $0 |
| David Weinstock | MA | Internal Medicine Physician | $113.4K | $0 |
| Wassim Assaf | MA | Sleep Medicine (Internal Medicine) Physician | $79.4K | $0 |
| Georgios Poniros | MA | Podiatrist | $65.6K | $10.1K |
| Tatyana Sayko | MA | Family Medicine Physician | $64.8K | $0 |
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