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NPI 1619051760 · Greenville, SC · Ambulatory Surgical Clinic/Center
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Greenville Endoscopy Center Inc is a ambulatory surgical clinic/center provider located in Greenville, South Carolina. This profile covers 17 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Greenville Endoscopy Center Inc |
| Address | 125 Halton Road |
| City | Greenville |
| State | SC |
| ZIP | 29607 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $9.9K |
GREENVILLE ENDOSCOPY CENTER INC is an ambulatory surgical clinic/center in GREENVILLE, SC with an NPI enumerated 2006-10-25 (~20 years ago). Its billed Medicare revenue is $2.3M versus Medicaid revenue of $9.9K, indicating Medicare is by far the dominant payer on the lifetime record and Medicaid activity is negligible in scale relative to Medicare.
The provider’s service mix is concentrated in GI endoscopy: high-volume colonoscopy and upper endoscopy with diagnostic biopsies and therapeutic interventions. Top-revenue Medicare and Medicaid codes include colonoscopy with polypectomy and biopsies (45385, 45380), endoscopic biopsy of the upper GI tract (43239), colorectal cancer screening (G0105, G0121), and esophageal dilation (43450, 43249), which together describe a facility focused on outpatient diagnostic and therapeutic endoscopy.
Medicare revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 63.8% of this provider's total Medicare revenue. Individually those top three are 45385 ($572.2K, 25.1%), 45380 ($554.5K, 24.3%), and 43239 ($326.6K, 14.3%), showing a heavy reliance on a few inpatient-service style endoscopic procedures for the majority of Medicare receipts.
The provider appears nationally dominant for several Medicare codes: 45385 ranks #20 of 16310 providers nationally (100th percentile; extreme outlier), 45380 ranks #8 of 16427 providers nationally (100th percentile; extreme outlier), and 43239 ranks #7 of 17140 providers nationally (100th percentile; extreme outlier). Several additional Medicare codes (G0105, 43450, 43235) also carry 100th-percentile/“extreme outlier” labels, indicating volumes far above typical national peers for those procedures and an outsized national footprint for outpatient endoscopy.
On Medicaid the billing picture is effectively mono-code: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and 43239 alone represents $9.7K and 97.6% of Medicaid revenue (484 claims, $20 avg paid/claim). In-state competitive standing for Medicaid is modest: 43239 ranks #40 of 105 providers in-state (63th percentile; typical, unremarkable volume) and 45380 contributes only $240 (2.4% of Medicaid revenue), so Medicaid role is very limited relative to Medicare.
Beyond the headline top codes, the center also reports meaningful Medicare receipts for therapeutic dilation and related upper-GI procedures, e.g., 43450 ($168.9K, 7.4%) and 43249 ($60.8K, 2.7%, ranks #102 of 3500 providers nationally, 97th percentile; notably above typical national volume). At the same time several other listed Medicare codes (e.g., 43248, 43251, 46221) sit in mid-to-upper percentiles described as typical or unremarkable, consistent with a mixed diagnostic/therapeutic outpatient endoscopy practice rather than a broad surgical suite.
The concentration of revenue in a small set of high-volume endoscopy CPT/HCPCS codes implies operational exposure to reimbursement or utilization shifts for those procedures. Given the provider’s long tenure (NPI enumerated 2006-10-25 (~20 years ago)) and its outsized national volumes on key GI codes, any changes in Medicare policy or referral patterns for colonoscopy and upper endoscopy could materially affect the center’s revenue profile.
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… | 1,340 | $430 | $572.2K |
| 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… | 1,550 | $360 | $554.5K |
| 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. | 1,610 | $200 | $326.6K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 580 | $390 | $226.9K |
| 43450 | The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing. | 680 | $250 | $168.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 270 | $390 | $104.9K |
| 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. | 520 | $200 | $102K |
| 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 | $310 | $75.3K |
| 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. | 110 | $550 | $60.8K |
| 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… | 110 | $240 | $27.3K |
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.
2 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 | $20 | $9.7K |
| 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… | 20 | $20 | $240 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
2 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. | 40 | 110 | 180 | $60 | $33.8K |
| 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… | 31 | 50 | 50 | $40 | $7.2K |
Other providers in the same ZIP code as Greenville Endoscopy Center Inc, ranked by combined Medicare and Medicaid revenue.
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