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NPI 1588938682 · New York, NY · Ambulatory Surgical Clinic/Center
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West Side Gi, LLC is a ambulatory surgical clinic/center provider located in New York, New York. This profile covers 7 Medicare and 13 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 | West Side Gi, LLC |
| Address | 619 W 54th St |
| City | New York |
| State | NY |
| ZIP | 10019 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 7, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13M |
| Medicare | $566.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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. | 480 | $340 | $161.7K |
| 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… | 290 | $450 | $128.4K |
| 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… | 210 | $510 | $104.2K |
| 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… | 250 | $380 | $93.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 100 | $490 | $50.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $490 | $23.2K |
| 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 | $350 | $4.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
13 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. | 10,770 | $500 | $5.3M |
| 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… | 5,450 | $530 | $2.9M |
| 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… | 2,780 | $470 | $1.3M |
| 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… | 1,940 | $510 | $997.3K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 8,050 | $110 | $852.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1,500 | $510 | $764.5K |
| 00811 | The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to… | 4,490 | $90 | $413.2K |
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 3,550 | $90 | $333.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 100 | $470 | $45.2K |
| 00813 | The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above… | 230 | $120 | $26.7K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
13 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. | 7 | 610 | 310 | $380 | $397.9K |
| 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… | 27 | 390 | 240 | $450 | $332.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 12,582 | 19,110 | 360 | $70 | $321K |
| 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… | 2 | 260 | 140 | $500 | $245.2K |
| 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 | 120 | $480 | $186.8K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 8 | 230 | 210 | $120 | $121.6K |
| 00811 | The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to… | 5 | 170 | 120 | $110 | $79.7K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1 | 50 | 60 | $380 | $69.6K |
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 5 | 110 | 90 | $100 | $57.2K |
| 00813 | The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above… | 15 | 60 | 70 | $110 | $38.5K |
Showing 1–10 of 13
Other providers in the same ZIP code as West Side Gi, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St Lukes Roosevelt Hospital Center | NY | General Acute Care Hospital | $0 | $190.5M |
| Karen Thornton | NY | Family Medicine Physician | $183K | $13.5M |
| Armistead Williams | NY | Neurology Physician | $6.7M | $0 |
| Roosevelt Surgery Center, LLC | NY | Ambulatory Surgical Clinic/Center | $1.1M | $938.4K |
| Elizabeth Kavaler | NY | Urology Physician | $1.7M | $0 |
| Esoterix Genetic Laboratories, LLC | NY | Clinical Medical Laboratory | $418.7K | $724.2K |
| Suelane Do Ouro | NY | Interventional Pain Medicine Physician | $682.3K | $332.8K |
| Robert Howard | NY | Registered Dietitian | $17K | $962.8K |
| James Stark | NY | Neurology Physician | $827.7K | $0 |
| Alexander Volvovsky | NY | Diagnostic Radiology Physician | $814.1K | $0 |
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.