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

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

Elgin Gastroenterology Endoscopy Center LLC (NPI 1992875454)

Field	Value
Entity Type	Organization
Organization	Elgin Gastroenterology Endoscopy Center LLC
Address	745 Fletcher Dr Fl 2
City	Elgin
State	IL
ZIP	60123
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicare	$676.1K
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
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…	600	$470	$283.4K
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…	360	$350	$124.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	240	$430	$104.7K
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	$230	$98.5K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	90	$430	$38.4K
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	$340	$16.5K
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.	30	$190	$5.4K
45381	The 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…	20	$250	$4.4K

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. Illinois Distribution

Elgin Gastroenterology Endoscopy Center LLC — 5 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	9	640	60	$270	$23.4K
45380	15	670	50	$160	$12.7K
G0105	5	310	30	$260	$10K
43239	12	680	70	$110	$9.6K
G0121	8	250	20	$260	$7K
45378	39	340	20	$180	$5.1K
43235	72	260	20	$100	$2.6K
45381	33	80	20	$80	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ecker Center For Behavioral Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20M
A-tec Ambulance Service Inc	IL	Land Ambulance	$3.4M	$8.3M
Kenneth Laferle	IL	Audiologist	$8K	$5.8M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Cranial Technologies, Inc.	IL	Prosthetic/Orthotic Supplier	$0	$4M
Veerpal Singh	IL	Hematology & Oncology Physician	$3.4M	$67.3K
Syed Zahir	IL	Hematology & Oncology Physician	$3.1M	$72.4K
Suleman Bangash	IL	Dermatology Physician	$3M	$5.2K
Rashmi Kapur	IL	Ophthalmology Physician	$1.6M	$1.1M
Rehan Hussain	IL	Ophthalmology Physician	$2.2M	$236K

Elgin Gastroenterology Endoscopy Center LLC — Billing Profile & Reimbursement Data

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Elgin Gastroenterology Endoscopy Center LLC — Billing Profile & Reimbursement Data

Sign up for Elgin Gastroenterology Endoscopy Center LLC — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References