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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Bayside Endoscopy Center LLC (NPI 1588879266)

Field	Value
Entity Type	Organization
Organization	Bayside Endoscopy Center LLC
Address	1407 South County Trail
City	East Greenwich
State	RI
ZIP	02818
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicare	$650.4K
Medicaid	$0

Key Findings

BAYSIDE ENDOSCOPY CENTER LLC operates as an Ambulatory Surgical Clinic/Center whose Medicare billing is heavily concentrated in diagnostic and therapeutic GI endoscopy: 45385 generated $212.5K, 45380 generated $162.8K, and 43239 generated $104.7K in Medicare revenue. The presence of both high-revenue colonoscopy polypectomy (45385) and colonoscopy with biopsy (45380) alongside EGD biopsy (43239) indicates a procedural mix centered on endoscopic diagnosis, polypectomy and screening interventions rather than broad surgical subspecialties.

Revenue concentration is pronounced: the precomputed top 3 Medicare codes by revenue account for 73.8% of this provider's total Medicare revenue, with total Medicare revenue reported at $650.4K. This concentration means the practice’s Medicare financial performance is driven primarily by a narrow set of high-volume GI procedural codes.

The payer mix is effectively single-payer in practice: total Medicare revenue is $650.4K while there is no Medicaid billing on file. Absence of Medicaid activity implies operational and reimbursement exposure is concentrated in the Medicare market and the provider likely does not rely on state Medicaid volume for scale.

BAYSIDE ranks at the high end nationally for several key colorectal procedure codes, indicating a strong competitive standing for these services: 45385 ranks #360 of 16310 (98th percentile; notably above typical national volume), 45380 ranks #301 of 16427 (98th percentile; extreme outlier), and 43239 ranks #431 of 17140 (97th percentile; notably above typical national volume). These percentiles suggest the center is a major national-volume performer for colonoscopy and upper endoscopy procedures compared with peers.

The provider also shows notable performance on colorectal cancer screening codes: G0105 accounted for $85.6K with 200 claims and ranks #203 of 8773 (98th percentile; notably above typical national volume), while G0121 contributed $34.6K and ranks #493 of 7750 (94th percentile; notably above typical national volume). This pattern supports an operational emphasis on both high-risk and average-risk screening colonoscopy services as a meaningful part of the business mix.

Lower-revenue codes are present but represent modest shares of Medicare receipts and mostly sit at typical-to-unremarkable national percentiles: for example, 43248 generated $16.3K (2.5% of Medicare revenue) and ranks in the 80th percentile, 45378 generated $15.3K (2.4%) and sits in the 86th percentile, and 43249 generated $10.1K (1.6%) and ranks in the 29th percentile. These smaller, more typical volumes outside the top three suggest the center focuses on a narrow set of high-volume endoscopic procedures rather than a broad array of ancillary services.

The NPI was enumerated on 2007-05-14 (~19 years ago), indicating the center has an established operating history with Medicare. Combined with the concentrated, high-percentile volumes on core GI codes, the tenure supports a sustained, specialty-focused endoscopy practice rather than a newly established or transient billing pattern.

Medicare: Complete Services Breakdown

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

10 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…	460	$470	$212.5K
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…	440	$370	$162.8K
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.	410	$260	$104.7K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	200	$430	$85.6K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	80	$420	$34.6K
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…	60	$280	$16.3K
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…	50	$330	$15.3K
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.	20	$590	$10.1K
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…	20	$250	$4.8K
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.	10	$260	$3.7K

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Bayside Endoscopy Center LLC — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	3	60	60	$310	$27.9K
45380	2	60	60	$210	$17.9K
43239	2	60	60	$130	$12.3K
G0105	2	40	20	$300	$10.8K
G0121	1	20	20	$310	$8.4K
43248	3	20	20	$200	$6.9K
43249	8	10	20	$250	$6.4K
45378	4	40	20	$200	$5.1K
45381	2	10	20	$190	$3.4K
43235	16	20	20	$110	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayside Endoscopy Center, LLC	RI	Endoscopy Clinic/Center	$1M	$553.2K
Bayside Endoscopy Center, LLC	RI	Endoscopy Clinic/Center	$341K	$0
Thomas Sepe	RI	Gastroenterology Physician	$100K	$29.4K

Nearby Providers

Other providers in the same ZIP code as Bayside Endoscopy Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
Healthy Babies, Happy Moms Inc.	RI	Customized Equipment (DME)	$0	$1.5M
Daniel Collins	RI	Family Medicine Physician	$24.4K	$902.1K
Sargent Rehabilitation Center, Inc.	RI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$819.5K
Egp Inc	RI	Pediatrics Physician	$0	$708.2K
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Joseph Wyllie	RI	Cardiovascular Disease Physician	$110.6K	$537.2K
Nathaniel Jellinek	RI	MOHS-Micrographic Surgery Physician	$638.1K	$0
Natasha Bica	RI	Family Medicine Physician	$0	$606.3K
Julia Baltz	RI	Dermatology Physician	$529.7K	$0

Bayside Endoscopy Center LLC — Billing Profile & Reimbursement Data

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Bayside Endoscopy Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References