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    OpenPayerNPI Medicare & MedicaidLincoln Digestive Health Center LLC
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    Lincoln Digestive Health Center LLC — Billing Profile & Reimbursement Data

    NPI 1548710775 · Lincoln, NE · Ambulatory Surgical Clinic/Center

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    Lincoln Digestive Health Center LLC is a ambulatory surgical clinic/center provider located in Lincoln, Nebraska. This profile covers 11 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLincoln Digestive Health Center LLC
    Address2300 S 16th St
    CityLincoln
    StateNE
    ZIP68502
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 12, 2016

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

    Payer SourceTotal Paid
    Medicare$355K
    Medicaid$46.3K

    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…290$440$126.4K
    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.250$210$52.6K
    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…140$350$50K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk70$410$29.9K
    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…70$300$20.3K
    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.30$580$19.1K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.60$280$16.2K
    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.60$230$13.7K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.10$990$11.8K
    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…30$330$8.3K

    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
    45385712050$280$33.2K
    453801813040$190$14.9K
    G010567030$260$11.9K
    4539071020$430$9.5K
    43239611060$110$9.2K
    G0121487020$260$7.9K
    4324963020$170$7.6K
    4324821030$180$7.3K
    4345033030$130$5K
    45378176020$170$4.2K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.250$190$46.4K
    G8907Patient 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…310$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.1730280$450$266.7K
    G8907Patient 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…32040$1$10

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lincoln Digestive Health Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark GriffinNESpecialist$343K$0
    David NewtonNEGastroenterology Physician$298.6K$0
    William LawtonNEGastroenterology Physician$295.1K$0
    Matthew HrnicekNEGastroenterology Physician$263.9K$0
    Clark AntonsonNEGastroenterology Physician$263.2K$0
    John ThomasNEGastroenterology Physician$250.7K$0
    Paul PetersenNESpecialist$246.8K$0
    Christopher RifeNEGastroenterology Physician$238.6K$0
    Erik BowmanNEGastroenterology Physician$220.9K$0
    Michael RothNEGastroenterology Physician$218.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Lincoln Digestive Health Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bryan Physician NetworkNEFamily Medicine Physician$0$12.2M
    Centerpointe, Inc.NESubstance Abuse Rehabilitation Facility$0$5.1M
    Inpatient Physician Associates, LLCNEInternal Medicine Physician$0$2.2M
    Genesis Psychiatric Group, LLCNEPsychiatric/Mental Health Nurse Practitioner$0$1.9M
    Southwest Lincoln Surgery Center, LLCNEAmbulatory Surgical Clinic/Center$1.7M$114.7K
    Centerpointe, IncNECase Management Agency$0$1.7M
    Centerpointe, Inc.NECase Management Agency$0$1.4M
    Bluestem HealthNEFederally Qualified Health Center (FQHC)$0$1.3M
    HopespokeNEPsychiatric Residential Treatment Facility$0$1.1M
    Travis Bangert Dc PCNEChiropractor$0$1M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nebraska Distribution
    Lincoln Digestive Health Center LLC — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska
    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Lincoln Digestive Health Center LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska