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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Digestive Asc LLC (NPI 1558951319)

Field	Value
Entity Type	Organization
Organization	Digestive Asc LLC
Address	649 Guy Road
City	Clayton
State	NC
ZIP	27520
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 25, 2021

Payer Source	Total Paid
Medicare	$159.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	90	$400	$35.2K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	80	$410	$30.5K
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.	40	$570	$23.5K
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…	50	$430	$22.8K
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.	50	$290	$15.7K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	$410	$15.1K
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.	30	$290	$10K
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	50	$150	$6.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Digestive Asc LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	345	560	70	$290	$33.4K
45380	118	520	40	$180	$13.7K
G0105	51	340	30	$270	$12.4K
43239	297	560	60	$120	$11K
43249	44	170	30	$270	$9.7K
G0121	51	260	20	$280	$8.1K
46221	8	30	30	$190	$7.3K
43235	68	280	20	$120	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hhdm, Inc.	NC	Methadone Clinic	$0	$7.2M
Benjamin Atkeson	NC	Cardiovascular Disease Physician	$477.1K	$0
Debra Harr	NC	Radiation Oncology Physician	$414.3K	$0
Sanjay Tomar	NC	Dermatology Physician	$245.1K	$0
Mazen Khusayem	NC	Internal Medicine Physician	$188K	$14K
Christian Gring	NC	Cardiovascular Disease Physician	$193.5K	$0
Joan Meehan	NC	Family Medicine Physician	$193.4K	$0
Mir-omar Ali	NC	Pulmonary Disease Physician	$181.6K	$0
Joseph Allen	NC	Urology Physician	$121.9K	$0
Martha Ingram	NC	Physician Assistant	$104.4K	$0

Digestive Asc LLC — Billing Profile & Reimbursement Data

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Digestive Asc LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References