OLD TOWN ENDOSCOPY CENTER LLC
Ambulatory Surgical Clinic/Center · DALLAS, TX
Organization Active NPI 1821067554
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,252 | 3,296 | $6,921,600 | $1,539,315 | $1,307,660 |
| 2023 | 2,271 | 3,301 | $6,932,100 | $1,412,937 | $1,199,654 |
| 2022 | 2,070 | 2,990 | $6,279,000 | $1,227,530 | $1,011,727 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 921 | $491 | $411 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 810 | $296 | $237 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 635 | $577 | $486 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 319 | $447 | $447 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 188 | $449 | $449 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 136 | $790 | $632 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 48 | $439 | $340 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 46 | $387 | $306 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 35 | $803 | $637 |
| 43450 | Dilation of esophagus | 34 | $360 | $290 |
| 43237 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 31 | $785 | $629 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | $332 | $262 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 000402 | TX |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.