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NPI 1558553859 · Madison, MS · Endoscopy Clinic/Center
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Gastrointestinal Associates Endoscopy Center, LLC is a endoscopy clinic/center provider located in Madison, Mississippi. This profile covers 17 Medicare and 6 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 | Gastrointestinal Associates Endoscopy Center, LLC |
| Address | 106 Highland Way Ste 101 |
| City | Madison |
| State | MS |
| ZIP | 39110 |
| Taxonomy | Endoscopy Clinic/Center |
| NPI Enumerated | August 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $432.9K |
GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC presents as a high-volume specialty endoscopy clinic focused on both lower and upper GI procedures; its top Medicare revenue codes (45385, 45380, 43239) reflect predominant activity in colonoscopic polypectomy, diagnostic/biopsy colonoscopy, and upper endoscopy with biopsy, which together account for 59.5% of Medicare revenue and indicate a procedure-driven ambulatory endoscopy practice. The Medicaid revenue mix is similarly concentrated in endoscopy diagnostics—43239 and 45380 together make up 92.5% of Medicaid revenue and the top three Medicaid codes account for 96.8% of Medicaid revenue—supporting the view that the center’s service line is narrowly focused on endoscopic diagnostic and therapeutic procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 860 | $420 | $359.1K |
| 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… | 870 | $350 | $306.2K |
| 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. | 940 | $200 | $189.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 470 | $390 | $183.5K |
| 43248 | The 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… | 440 | $250 | $108.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 230 | $390 | $88.2K |
| 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… | 170 | $300 | $50.1K |
| 46946 | The provider performs one of many techniques other than the rubber band technique to remove two or more hemorrhoids or groups. Hemorrhoids are small swollen vessels in the rectum or anus. | 40 | $900 | $34.2K |
| 43259 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic… | 40 | $520 | $20.4K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 30 | $530 | $15.9K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 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.
6 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. | 2,010 | $140 | $271.2K |
| 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… | 770 | $170 | $130.1K |
| 43248 | The 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… | 120 | $150 | $18.4K |
| 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… | 80 | $140 | $10.9K |
| 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… | 10 | $220 | $3.1K |
| 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… | 730 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
6 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. | 14 | 70 | 200 | $180 | $200.4K |
| 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… | 11 | 30 | 420 | $210 | $165.6K |
| 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… | 23 | 30 | 170 | $190 | $89.5K |
| 43248 | The 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… | 8 | 10 | 190 | $130 | $65.1K |
| 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… | 14 | 30 | 80 | $200 | $58K |
| 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… | 22 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Gastrointestinal Associates Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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