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    OpenPayerNPI Medicare & MedicaidLake Endoscopy Center, LLC
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    Lake Endoscopy Center, LLC — Billing Profile & Reimbursement Data

    NPI 1750823886 · Summerfield, FL · Ambulatory Surgical Clinic/Center

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    Lake Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Summerfield, Florida. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLake Endoscopy Center, LLC
    Address17355 Se 109th Terrace Rd
    CitySummerfield
    StateFL
    ZIP34491
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 7, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The 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…810$430$349.2K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.100$3,660$347.7K
    45380The 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…690$340$232.2K
    43239The 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.670$240$161.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk270$400$106K
    43248The 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…260$300$79.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk90$400$33.7K
    45378The 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$310$32.9K
    45331In this procedure, the provider examines the inner part of the rectum and the sigmoid colon using a sigmoidoscope, a flexible, narrow tube with a camera at its one end. He then takes one or more…80$300$23K
    43235The 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.80$270$21.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6456188030$2,080$95.8K
    45385141,14060$300$31K
    45380181,16050$200$18.7K
    43239321,26080$130$16.8K
    G01051670030$280$14.6K
    4324923130020$300$10.9K
    G01215264020$280$10K
    43248423030$180$9.9K
    453782967020$200$6.5K
    4533116020$200$3.7K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fariborz DelbakhshFLSpecialist$2.3M$0
    Villages Endoscopy Center LLCFLAmbulatory Surgical Clinic/Center$1.1M$0
    Luna BeckFLInternal Medicine Physician$846.4K$0
    The Surgery Center Of The Villages, LLCFLAmbulatory Surgical Clinic/Center$694.5K$0
    Lloyd KimFLEmergency Medicine Physician$581.9K$0
    Sara GitteFLInternal Medicine Physician$396.4K$0
    Kimberly LancasterFLOccupational Therapist$343.2K$0
    Alfredo JacomeFLNeurology Physician$331.8K$0
    Ma AungFLInternal Medicine Physician$324.2K$0
    Michael McgriffFLDermatology Physician$287.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Lake Endoscopy Center, LLC — 7 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida