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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Colon And Rectal Endoscopy And Surgery Center, LLC (NPI 1801554316)

Field	Value
Entity Type	Organization
Organization	Colon And Rectal Endoscopy And Surgery Center, LLC
Address	7504 Right Flank Road
City	Mechanicsville
State	VA
ZIP	23116
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 1, 2021

Payer Source	Total Paid
Medicare	$358.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	210	$420	$86.7K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	210	$410	$86.1K
45384	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…	150	$420	$62.1K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	120	$410	$50.4K
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…	70	$320	$22.3K
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…	60	$350	$21.8K
46260	In this procedure, the provider excises two or more internal and external hemorrhoids or hemorrhoid groups.	20	$910	$14.5K
45390	The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.	20	$940	$14.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Colon And Rectal Endoscopy And Surgery Center, LLC — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	36	400	70	$260	$24.7K
45380	175	400	60	$160	$12.9K
45384	2	20	40	$210	$12.2K
45390	20	40	20	$370	$9.7K
G0105	1	240	30	$240	$9.2K
G0121	3	190	20	$250	$7.2K
46260	1	10	10	$490	$6.3K
45378	7	210	20	$170	$4.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours Memorial Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$41.9M
Heavenly Helpers In-home Services	VA	In Home Supportive Care Agency	$0	$15.3M
Structured Living LLC	VA	Community/Behavioral Health Agency	$0	$6.3M
Ideal Ride Transportation Services, LLC	VA	Non-emergency Medical Transport (VAN)	$0	$5.9M
Maura Hagan	VA	Hematology & Oncology Physician	$1.9M	$0
Lindsay Holtz	VA	Rheumatology Physician	$1.5M	$19.8K
Angela Vanlandingham	VA	Hematology & Oncology Physician	$1.2M	$0
James Baldwin	VA	Foot & Ankle Surgery Podiatrist	$989.9K	$0
Seaborn Wade	VA	Hematology & Oncology Physician	$978.3K	$0
Dean Caven	VA	Cardiovascular Disease Physician	$762K	$0

Colon And Rectal Endoscopy And Surgery Center, LLC — Billing Profile & Reimbursement Data

Sign up for Colon And Rectal Endoscopy And Surgery Center, LLC — Billing Profile & Reimbursement Data policy alerts

Colon And Rectal Endoscopy And Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References