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NPI 1912992900 · Meridian, ID · Ambulatory Surgical Clinic/Center
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Boise Endoscopy Center, LLC is a ambulatory surgical clinic/center provider located in Meridian, Idaho. This profile covers 11 Medicare and 2 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 | Boise Endoscopy Center, LLC |
| Address | 2235 E Gala St |
| City | Meridian |
| State | ID |
| ZIP | 83642 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $446.1K |
| Medicaid | $47.4K |
BOISE ENDOSCOPY CENTER, LLC operates as an ambulatory surgical clinic/center with a procedure mix dominated by gastrointestinal endoscopy and colonoscopy services; the top Medicare codes are 45385, 45380, and 43239, reflecting polypectomy, colonoscopic biopsy/excision, and upper endoscopic biopsy procedures respectively, which aligns with a specialty outpatient endoscopy practice. This clinical mix suggests the center’s operations are focused on diagnostic and therapeutic endoscopy rather than broader surgical specialties.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 67.8% of the provider’s total Medicare revenue (Total Medicare revenue: $446.1K). That concentration indicates a business heavily dependent on a small set of endoscopy-related services.
On Medicaid the revenue concentration is even more extreme: the top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue (Total Medicaid revenue: $47.4K), with 43239 alone contributing 79.4% of Medicaid revenue. Medicaid billing is therefore narrowly focused and effectively limited to a couple of endoscopy CPTs.
Payer mix is skewed strongly toward Medicare in scale: Total Medicare revenue ($446.1K) is an order of magnitude larger than Total Medicaid revenue ($47.4K), indicating Medicare is the dominant payer for this facility and Medicaid represents a small share of overall public-payer volume.
Competitive standing on Medicare shows above-typical national volumes for the center’s highest-revenue codes: 45385 ranks in the 96th percentile nationally and is described as notably above typical national volume, 45380 is also in the 96th percentile and notably above typical national volume, and 43239 is in the 95th percentile and notably above typical national volume. These rankings indicate the provider is a high-volume national outlier for core colonoscopy and upper endoscopy services.
State-level Medicaid positioning is modest: 43239 ranks #17 of 35 in-state (described as typical, unremarkable volume) and 45380 ranks #12 of 18 in-state (also described as typical, unremarkable volume), suggesting the center is not a market leader in Medicaid endoscopy volume within Idaho despite high Medicare throughput.
Specific procedure-level signals: 45385 contributes $146.1K (32.8% of Medicare revenue) and 45380 contributes $93.5K (21.0% of Medicare revenue), making polypectomy and diagnostic/biopsy colonoscopy the largest Medicare revenue drivers; this supports an operational emphasis on therapeutic colonoscopy and screening follow-up.
Tenure: the provider’s NPI was enumerated on 2005-09-15 (~21 years ago), indicating long-standing presence in the market which may support established referral relationships and steady case flow for endoscopy services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 330 | $440 | $146.1K |
| 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… | 260 | $360 | $93.5K |
| 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. | 290 | $220 | $62.6K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 160 | $270 | $43.6K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 80 | $410 | $34.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 70 | $410 | $26.6K |
| 43235 | The 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. | 40 | $280 | $11.5K |
| 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. | 20 | $540 | $8.1K |
| 43251 | An 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 | $550 | $7.7K |
| 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 | $320 | $7.3K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 190 | $200 | $37.6K |
| 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 | $390 | $9.8K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 12 | 20 | 70 | $260 | $77.5K |
| 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. | 17 | 40 | 180 | $170 | $75K |
Other providers in the same ZIP code as Boise Endoscopy Center, LLC, ranked by combined Medicare and Medicaid revenue.
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