GEM STATE ENDOSCOPY
Ambulatory Surgical Clinic/Center · LEWISTON, ID
Organization Active NPI 1821459496
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 579 | 1,002 | $1,154,152 | $448,857 | $364,053 |
| 2023 | 539 | 922 | $965,707 | $383,416 | $309,555 |
| 2022 | 487 | 774 | $810,831 | $310,240 | $247,378 |
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 | 271 | $551 | $455 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 220 | $313 | $241 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 167 | $427 | $331 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 140 | $359 | $290 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 51 | $759 | $597 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 31 | $431 | $431 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 29 | $431 | $431 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | $429 | $337 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 16 | $279 | $228 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 | $433 | $332 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.