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    OpenPayerNPI Medicare & MedicaidSt. Luke's Ambulatory Services Inc.
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    St. Luke's Ambulatory Services Inc. — Billing Profile & Reimbursement Data

    NPI 1881862670 · Sellersville, PA · Endoscopy Clinic/Center

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    St. Luke's Ambulatory Services Inc. is a endoscopy clinic/center provider located in Sellersville, Pennsylvania. 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
    OrganizationSt. Luke's Ambulatory Services Inc.
    Address1107 Bethlehem Pike
    CitySellersville
    StatePA
    ZIP18960
    TaxonomyEndoscopy Clinic/Center
    NPI EnumeratedFebruary 14, 2008

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

    Payer SourceTotal Paid
    Medicare$503.7K
    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
    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…350$460$159K
    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…380$370$139.4K
    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.330$240$80.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk100$430$42.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk80$430$33.1K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.60$290$17.6K
    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…50$340$15.5K
    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.50$270$13K
    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…10$310$3.4K

    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
    453852586050$290$24.3K
    453801484040$180$12.5K
    G01054450030$270$12.4K
    432392588050$130$9.6K
    G01212838020$270$8.1K
    434501310020$150$4.6K
    453783539020$190$4.6K
    432353941020$120$3.2K
    45381556020$150$2.9K

    Nearby Providers

    Other providers in the same ZIP code as St. Luke's Ambulatory Services Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$19.6M
    Penn Foundation IncPACommunity/Behavioral Health Agency$0$8.3M
    Penn Foundation, Inc.PACommunity/Behavioral Health Agency$0$6.1M
    Daniel ShragerPADermatology Physician$3.4M$0
    Leo SantamarinaPAOphthalmology Physician$2.4M$0
    James SpearsPAHematology & Oncology Physician$2.1M$0
    Sarah GoodyearPAHematology & Oncology Physician$1.6M$0
    Mitchell AldenPAHematology & Oncology Physician$1.5M$0
    Anthony MagdalinskiPAHematology & Oncology Physician$1.3M$0
    Martin HightowerPARadiation Oncology Physician$961.4K$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.

    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. Pennsylvania Distribution
    St. Luke's Ambulatory Services Inc. — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania