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

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

Digestive Disease Associates Endoscopy Suite, LLC (NPI 1972758183)

Field	Value
Entity Type	Organization
Organization	Digestive Disease Associates Endoscopy Suite, LLC
Address	687 Main St
City	Branford
State	CT
ZIP	06405
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 2, 2008

Payer Source	Total Paid
Medicare	$204.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 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…	190	$500	$94.7K
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…	90	$490	$42.5K
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.	140	$280	$38.9K
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…	80	$360	$28.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Digestive Disease Associates Endoscopy Suite, LLC — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	16	240	50	$290	$19.3K
45380	42	240	40	$190	$11.5K
43239	22	240	50	$120	$8.9K
45378	2	90	20	$200	$4.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Digestive Disease Associates Endoscopy Suite, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Zanchetti	CT	Gastroenterology Physician	$292.1K	$0
Keri Herzog	CT	Gastroenterology Physician	$44K	$0

Nearby Providers

Other providers in the same ZIP code as Digestive Disease Associates Endoscopy Suite, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sema4 Opco, Inc	CT	Clinical Medical Laboratory	$0	$10.8M
Hhc Physician Services, PLLC	CT	Internal Medicine Physician	$0	$7.7M
Physicians Alliance Of Connecticut, LLC	CT	Internal Medicine Physician	$0	$6.3M
Genco Lab LLC	CT	Clinical Medical Laboratory	$648.4K	$2.6M
Branford Pediatrics & Allergy, P.C.	CT	Allergy Physician	$0	$3.1M
Town Of Branford	CT	Land Ambulance	$542.1K	$1.7M
Prime Dental LLC	CT	General Practice Dentistry	$0	$1.7M
Town Of Branford	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Back To Health Of Branford, LLC	CT	Internal Medicine Physician	$0	$1.6M
New Horizon Healthcare, LLC	CT	Physician Assistant	$0	$1.4M

Digestive Disease Associates Endoscopy Suite, LLC — Billing Profile & Reimbursement Data

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Digestive Disease Associates Endoscopy Suite, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References