LAKE COUNTRY ENDOSCOPY CENTER, LLC
Ambulatory Surgical Clinic/Center · OCONOMOWOC, WI
Organization Active NPI 1184897472
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 579 | 811 | $2,420,104 | $382,850 | $313,310 |
| 2023 | 575 | 806 | $2,165,518 | $352,510 | $291,268 |
| 2022 | 509 | 727 | $1,849,012 | $298,794 | $239,167 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 231 | $585 | $459 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 168 | $461 | $358 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 151 | $312 | $244 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 102 | $451 | $451 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 43 | $456 | $456 |
| 43450 | Dilation of esophagus | 29 | $354 | $280 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $322 | $245 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 22 | $803 | $631 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 14 | $338 | $274 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
Other Ambulatory Surgical Clinic/Center providers in Wisconsin
- NPI 1962001958
- NPI 1013665389
- NPI 1396287355
- NPI 1811212558
- NPI 1114942315
- NPI 1215492061
- NPI 1265740302
- NPI 1194466235
See all Ambulatory Surgical Clinic/Center providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.