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    OpenPayerNPI Medicare & MedicaidSouth Shore Endoscopy Center, Inc
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    South Shore Endoscopy Center, Inc — Billing Profile & Reimbursement Data

    NPI 1831122159 · Braintree, MA · Endoscopy Clinic/Center

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    South Shore Endoscopy Center, Inc is a endoscopy clinic/center provider located in Braintree, Massachusetts. This profile covers 9 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
    OrganizationSouth Shore Endoscopy Center, Inc
    Address659 Washington St
    CityBraintree
    StateMA
    ZIP02184
    TaxonomyEndoscopy Clinic/Center
    NPI EnumeratedJuly 9, 2006

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

    Payer SourceTotal Paid
    Medicare$711.2K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…500$430$214.2K
    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…280$500$142.6K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk290$460$133.6K
    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.390$280$108.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk140$460$62.3K
    43249The 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.50$500$23K
    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…30$370$12.5K
    43251An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…10$650$9.1K
    45381The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…20$330$6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851446060$260$23.8K
    G0105328030$260$12.1K
    45380346050$160$11.9K
    G0121218020$260$8.6K
    43239547050$120$8.4K
    43251142020$280$5.8K
    453785621020$160$4.7K
    4324959020$210$4.7K
    45381113020$130$2.5K

    Nearby Providers

    Other providers in the same ZIP code as South Shore Endoscopy Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitra Health, Inc.MAAdult Care Home Facility$0$108.8M
    Peabody Resident Services IncMAAdult Care Home Facility$0$105.7M
    South Shore Elder Services IncMACase Management Agency$0$60.7M
    Medical Resources Home Health CorpMAHome Health Agency$0$26.6M
    Vatra Adhc, LLCMAAdult Day Care Clinic/Center$0$12.9M
    Habilitation Assistance CorporationMADevelopmentally Disabled Services Day Training Agency$0$9.6M
    South Shore Hospital Inc.MAHome Health Agency$0$7.9M
    Encompass Health Rehabilitation Hospital Of Braintree, LLCMARehabilitation Hospital$0$6.6M
    Marathon Health Solutions, LLCMAHome Health Agency$0$6.4M
    Mehnaz KhanMAOphthalmology Physician$871.2K$37.7K

    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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    South Shore Endoscopy Center, Inc — 6 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts