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

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

Walnut Creek Endoscopy Center LLC (NPI 1851568067)

Field	Value
Entity Type	Organization
Organization	Walnut Creek Endoscopy Center LLC
Address	365 Lennon Ln Ste 100
City	Walnut Creek
State	CA
ZIP	94598
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 15, 2008

Payer Source	Total Paid
Medicare	$746.3K
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
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…	460	$560	$256.8K
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.	430	$320	$137.7K
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…	190	$650	$119.3K
43252	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of a flexible endoscope passed through the mouth. The provider uses an endomicroscopy system to…	60	$1,700	$105.5K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	100	$580	$56K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	70	$600	$41.4K
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…	50	$450	$21.7K
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.	10	$680	$7.5K

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. California Distribution

Walnut Creek Endoscopy Center LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43252	4	10	50	$730	$63.2K
45385	181	1,410	60	$340	$33.9K
45380	39	1,460	60	$230	$23.8K
43239	54	1,500	80	$150	$17.3K
G0105	61	650	30	$340	$14.8K
G0121	81	710	20	$340	$12.7K
43249	252	270	20	$310	$9.1K
45378	147	800	20	$220	$7.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhpn, LLC	CA	Case Management Agency	$0	$350.7M
Easterseals Northern California	CA	Behavior Analyst	$0	$50.1M
John Muir Health	CA	General Acute Care Hospital	$0	$32.4M
Bay Area Retina Associates	CA	Retina Specialist (Ophthalmology) Physician	$0	$30.4M
Aspen Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$5.7M	$2M
Sequoia Surgical Center LP	CA	Ambulatory Surgical Clinic/Center	$2.6M	$3.8M
Min-wei Lee	CA	Dermatology Physician	$390.1K	$5.1M
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Michael Sherman	CA	Hematology & Oncology Physician	$3.9M	$0
Rajiv Nagesetty	CA	Vascular Surgery Physician	$3.6M	$0

Walnut Creek Endoscopy Center LLC — Billing Profile & Reimbursement Data

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Walnut Creek Endoscopy 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