TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
Ambulatory Surgical Clinic/Center · CRESTVIEW HILLS, KY
Organization Active NPI 1487651956
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,750 | 2,935 | $3,037,310 | $1,245,775 | $1,033,340 |
| 2023 | 1,755 | 2,916 | $3,029,580 | $1,153,493 | $960,845 |
| 2022 | 1,737 | 2,909 | $2,979,670 | $1,117,102 | $897,966 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 782 | $476 | $396 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 773 | $258 | $205 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 604 | $563 | $473 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 221 | $323 | $254 |
| 43450 | Dilation of esophagus | 122 | $310 | $250 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 111 | $442 | $442 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 81 | $748 | $599 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 58 | $407 | $313 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 45 | $434 | $434 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | $268 | $210 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 20 | $781 | $644 |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | $782 | $623 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 300096 | KY |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.