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NPI 1831371749 · Fresno, CA · Ambulatory Surgical Clinic/Center
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Pristine Surgery Center, Inc is a ambulatory surgical clinic/center provider located in Fresno, California. This profile covers 6 Medicare and 18 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 | Pristine Surgery Center, Inc |
| Address | 7085 N Maple Ave |
| City | Fresno |
| State | CA |
| ZIP | 93720 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $248.9K |
| Medicare | $109.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 44361 | The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also takes… | 90 | $620 | $52.5K |
| 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. | 80 | $190 | $15.5K |
| 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… | 30 | $450 | $14.8K |
| 43255 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding. | 40 | $390 | $13.8K |
| 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… | 20 | $360 | $8.5K |
| 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. | 30 | $180 | $4.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0360 | N/A | 4,490 | $20 | $103.3K |
| 44361 | The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also takes… | 800 | $40 | $29.5K |
| 44377 | The provider performs a visual examination of the upper gastrointestinal tract using a lighted endoscope. He examines the entire upper digestive tract from the esophagus to the ileum. If he finds… | 1,150 | $30 | $28.6K |
| J2704 | Injection, propofol, 10 mg | 420 | $50 | $21.5K |
| 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… | 1,180 | $20 | $21.2K |
| 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. | 1,900 | $10 | $20.9K |
| 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 | $30 | $6.2K |
| A4217 | Sterile water/saline, 500 ml | 680 | $10 | $4.1K |
| 0160 | N/A | 560 | $10 | $3.4K |
| 0761 | N/A | 560 | $1 | $2.2K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43255 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding. | 3 | 10 | 1,620 | $510 | $875.2K |
| 0160 | N/A | 76 | 150 | 560 | $340 | $557.7K |
| 0360 | N/A | 46 | 260 | 960 | $120 | $350.3K |
| 0490 | N/A | 57 | 80 | 520 | $150 | $323.2K |
| 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… | 14 | 30 | 50 | $470 | $251.8K |
| 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. | 136 | 780 | 350 | $180 | $200.7K |
| 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… | 100 | 570 | 210 | $250 | $160.5K |
| 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… | 227 | 530 | 140 | $240 | $158.4K |
| 0761 | N/A | 113 | 200 | 880 | $30 | $134.3K |
| 0760 | N/A | 129 | 220 | 820 | $20 | $119.2K |
Showing 1–10 of 18
Other providers in the same ZIP code as Pristine Surgery Center, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ravi Rao | CA | Hematology & Oncology Physician | $6.6M | $0 |
| Dexter Estrada | CA | Hematology & Oncology Physician | $5.6M | $0 |
| Sachin Gupta | CA | Hematology & Oncology Physician | $5.3M | $0 |
| Sierra Pacific Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $4.3M | $0 |
| Abdul Haseeb | CA | Hematology & Oncology Physician | $4M | $0 |
| Steven Hager | CA | Hematology & Oncology Physician | $3.6M | $0 |
| Amardeep Aulakh | CA | Internal Medicine Physician | $3.5M | $0 |
| George Bertolucci | CA | Ophthalmology Physician | $3.5M | $0 |
| Leonard Hackett | CA | Hematology & Oncology Physician | $3.3M | $0 |
| Daniel Prescott | CA | Ophthalmology Physician | $3.3M | $0 |
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