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NPI 1669496345 · Minneapolis, MN · Ambulatory Surgical Clinic/Center
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Mngi Endoscopy Asc Inc is a ambulatory surgical clinic/center provider located in Minneapolis, Minnesota. This profile covers 18 Medicare and 9 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 | Mngi Endoscopy Asc Inc |
| Address | 3001 Broadway St Ne Ste 500 |
| City | Minneapolis |
| State | MN |
| ZIP | 55413 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $3.1M |
MNGI ENDOSCOPY ASC INC is an ambulatory surgical center focused on gastrointestinal endoscopy: its top Medicare revenue codes are colonoscopy polypectomy (45385), colonoscopy with biopsy (45380), and upper endoscopy with biopsy (43239), indicating the facility primarily performs diagnostic and therapeutic GI endoscopic procedures and specimen collection rather than broad surgical specialties.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 78.1% of Medicare revenue, signaling dependence on a narrow set of endoscopy procedures for Medicare receipts. Similarly, the top 3 Medicaid codes account for 91.4% of Medicaid revenue, showing even greater Medicaid-side concentration in the same endoscopy service lines.
Payer mix shows materially more Medicaid revenue than Medicare revenue in scale: reported lifetime Medicaid revenue is $5.6M versus total Medicare revenue of $3.1M, indicating the ASC generates a larger absolute revenue stream from Medicaid than from Medicare.
The provider is a long-established entity with NPI enumerated since 2006-07-27 (~20 years ago), suggesting sustained operation and likely entrenched referral and operational workflows for endoscopic services in its market.
MNGI is a high-volume national outlier on several Medicare codes: 45385 ranks #1 of 16310 providers (100th percentile, described as an extreme outlier) and 45380 ranks #3 of 16427 providers (100th percentile, extreme outlier), which positions the ASC as a dominant national performer for colonoscopy procedures in Medicare. These national outlier rankings imply capacity and throughput well above typical peers.
On Medicaid within Minnesota, the center is also a major state-level provider for key codes: 43239, 45385, and 45380 all rank near the top in-state (e.g., 45385 and 45380 rank #2 in-state and 43239 ranks #2), placing the ASC among the largest state providers for both diagnostic upper endoscopy and colonoscopy services. This supports a competitive standing as a leading in-state endoscopy center.
Procedure mix and volumes suggest the facility is primarily an ASC model delivering high-volume, routine endoscopic diagnostics and therapeutic polypectomy services rather than low-volume, complex inpatient procedures; the presence of many colonoscopy (45385, 45380, G0105, G0121) and EGD codes (43239, 43235) with substantial claims supports a focused ambulatory GI service line.
Several quality/process-related ASC encounter codes (G8915, G8918, G8909, G8907) appear in the Medicaid top list with high claim counts but $0 reported revenue, indicating routine reporting of ASC discharge and perioperative process measures to the state; these do not materially drive revenue but reflect documented compliance or reporting activity at scale.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 2,950 | $480 | $1.4M |
| 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… | 1,780 | $350 | $626.9K |
| 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. | 1,400 | $280 | $388.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 420 | $440 | $184.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 240 | $440 | $106K |
| 43229 | The provider inserts a flexible endoscope through the mouth and into the esophagus where heablates one or more lesions; he may also pass a guidewire into the esophagus over which he passes a series… | 40 | $1,790 | $73.4K |
| 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. | 240 | $300 | $72.5K |
| 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… | 150 | $320 | $48K |
| 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. | 70 | $600 | $44.2K |
| 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… | 110 | $350 | $39.7K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 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.
9 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. | 5,950 | $340 | $2M |
| 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… | 4,120 | $380 | $1.6M |
| 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… | 3,830 | $400 | $1.5M |
| 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… | 1,150 | $380 | $431.6K |
| 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. | 150 | $360 | $52.3K |
| 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… | 1,530 | $0 | $0 |
| G8909 | Patient documented not to have received a burn prior to discharge | 140 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 140 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,690 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2 | 20 | 110 | $240 | $253.2K |
| 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… | 2 | 20 | 220 | $190 | $189.2K |
| 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… | 3 | 10 | 210 | $210 | $148.8K |
| 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. | 2 | 40 | 100 | $140 | $148.2K |
| 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. | 5 | 10 | 90 | $100 | $45.2K |
| 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… | 1 | 20 | 130 | $0 | $0 |
| G8909 | Patient documented not to have received a burn prior to discharge | 1 | 10 | 140 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 1 | 10 | 140 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 10 | 80 | $0 | $0 |
Other providers in the same ZIP code as Mngi Endoscopy Asc Inc, ranked by combined Medicare and Medicaid revenue.
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