Treatment Tracker

The Doctors and Services in Medicare Part B

DIGESTIVE SYSTEM

Removal of polyps or growths of esophagus,

Stomach, and/or upper small bowel using an endoscope

Service Code: 43251, Service Type: Medical

Total Paid

$158,344.31

Total Times Performed (or Units)

15,452

Rank Among All Services

1,735

Includes both office and facility visits.

Services by State

Below are the states in which this service was billed. Click a state for top providers there.


Times Performed State
2,115 Florida
1,638 California
1,247 New York
1,119 Texas
694 Michigan
660 Illinois
623 Ohio
621 North Carolina
594 Pennsylvania
589 Arizona
505 New Jersey
399 Maryland
392 Indiana
326 Missouri
315 Mississippi
292 Alabama
244 Rhode Island
244 Massachusetts
242 Iowa
223 Georgia
219 New Hampshire
217 Louisiana
213 Tennessee
201 Connecticut
189 Oklahoma
167 South Carolina
140 Colorado
121 Kentucky
121 Virginia
113 Kansas
103 Arkansas
99 Washington
86 West Virginia
75 Delaware
68 Wyoming
41 Nevada
41 North Dakota
39 Wisconsin
38 South Dakota
21 Oregon
14 Minnesota
14 Nebraska
14 Utah

Top Providers

Below are the top 30 providers who performed this service most often. A provider’s name may appear twice on this list if he/she performs this service in both an office setting and in a facility. Medicare reimburses differently based on place of service and breaks the data out accordingly. Sorting is limited to the top 30 overall providers.


Provider Name Times Performed (or Units) % of Patients Unique Visits Per Patient
DANIEL MEGNA

STATEN ISLAND, N.Y. 10306

Gastroenterology

27%

of this provider's 1,090 patients got this service
300

Performed in an office

27%

of this provider's 1,090 patients got this service
1
MARK NAGRANI

NEW SMYRNA BEACH, Fla. 32168

Specialist

38%

of this provider's 438 patients got this service
222

Performed in a facility

38%

of this provider's 438 patients got this service
1.3
NEW SMYRNA BEACH AMBULATORY CARE CENTER INC

NEW SMYRNA BEACH, Fla. 32168

Ambulatory Health Care Facilities, Ambulatory Surgical

48%

of this provider's 305 patients got this service
199

Performed in a facility

48%

of this provider's 305 patients got this service
1.4
SOUTHEAST VALLEY ENDOSCOPY CENTER,LLC

CHANDLER, Ariz. 85224

Ambulatory Health Care Facilities, Endoscopy

9%

of this provider's 1,977 patients got this service
176

Performed in a facility

9%

of this provider's 1,977 patients got this service
1
MANOJ MITTAL

EASTON, Pa. 18042

Gastroenterology

15%

of this provider's 1,072 patients got this service
161

Performed in a facility

15%

of this provider's 1,072 patients got this service
1
ARNOLD MERIN

TUCSON, Ariz. 85716

Gastroenterology

27%

of this provider's 558 patients got this service
157

Performed in a facility

27%

of this provider's 558 patients got this service
1
REHAM EL-SHAER

KINGSTON, N.Y. 12401

Gastroenterology

48%

of this provider's 263 patients got this service
151

Performed in an office

48%

of this provider's 263 patients got this service
1.2
NORTHAMPTON ENDOSCOPY CENTER LLC

EASTON, Pa. 18045

Ambulatory Health Care Facilities, Endoscopy

11%

of this provider's 1,301 patients got this service
141

Performed in a facility

11%

of this provider's 1,301 patients got this service
1
BAYSIDE ENDOSCOPY, LLC

PROVIDENCE, R.I. 02905

Ambulatory Health Care Facilities, Endoscopy

5%

of this provider's 2,342 patients got this service
131

Performed in a facility

5%

of this provider's 2,342 patients got this service
1.1
URVISH SHAH

LANSING, Mich. 48911

Gastroenterology

19%

of this provider's 571 patients got this service
120

Performed in a facility

19%

of this provider's 571 patients got this service
1.1
TEMECULA CA ENDOSCOPY ASC LP

MURRIETA, Calif. 92562

Ambulatory Health Care Facilities, Ambulatory Surgical

12%

of this provider's 927 patients got this service
112

Performed in a facility

12%

of this provider's 927 patients got this service
1
YATIN PATEL

CHANDLER, Ariz. 85224

Gastroenterology

21%

of this provider's 495 patients got this service
108

Performed in a facility

21%

of this provider's 495 patients got this service
1
CHARBEL MAKSOUD

JOPLIN, Mo. 64804

Gastroenterology

23%

of this provider's 392 patients got this service
104

Performed in a facility

23%

of this provider's 392 patients got this service
1.1
PREMIER ENDOSCOPY CENTER LLC

NAPLES, Fla. 34110

Ambulatory Health Care Facilities, Ambulatory Surgical

3%

of this provider's 3,123 patients got this service
104

Performed in a facility

3%

of this provider's 3,123 patients got this service
1.1
VISHAL GUPTA

ORANGE CITY, Fla. 32763

Gastroenterology

7%

of this provider's 1,422 patients got this service
103

Performed in a facility

7%

of this provider's 1,422 patients got this service
1
JOHN HONG

FALLBROOK, Calif. 92028

Gastroenterology

10%

of this provider's 924 patients got this service
97

Performed in a facility

10%

of this provider's 924 patients got this service
1
ORANGE CITY SURGERY CENTER LLC

ORANGE CITY, Fla. 32763

Ambulatory Health Care Facilities, Ambulatory Surgical

6%

of this provider's 1,606 patients got this service
97

Performed in a facility

6%

of this provider's 1,606 patients got this service
1
CHI ZHANG

NORTH ADAMS, Mass. 01247

Gastroenterology

8%

of this provider's 1,111 patients got this service
94

Performed in a facility

8%

of this provider's 1,111 patients got this service
1
URBANA GI ENDOSCOPY CENTER, LLC

IJAMSVILLE, Md. 21754

Ambulatory Health Care Facilities, Endoscopy

27%

of this provider's 348 patients got this service
94

Performed in a facility

27%

of this provider's 348 patients got this service
1
NEHME GABRIEL

LEESBURG, Fla. 34748

Gastroenterology

3%

of this provider's 2,949 patients got this service
88

Performed in a facility

3%

of this provider's 2,949 patients got this service
1
ENDOSCOPY CENTER OF NORTHERN OHIO, LLC

BRUNSWICK, Ohio 44212

Ambulatory Health Care Facilities, Ambulatory Surgical

6%

of this provider's 1,312 patients got this service
82

Performed in a facility

6%

of this provider's 1,312 patients got this service
1.1
LILLMAN DWARKA

STERLING HEIGHTS, Mich. 48312

Gastroenterology

9%

of this provider's 897 patients got this service
80

Performed in a facility

9%

of this provider's 897 patients got this service
1
THEODORE PALUMBO

PROVIDENCE, R.I. 02905

Gastroenterology

18%

of this provider's 406 patients got this service
79

Performed in a facility

18%

of this provider's 406 patients got this service
1.1
MARK BIRNS

ROCKVILLE, Md. 20850

Gastroenterology

15%

of this provider's 529 patients got this service
78

Performed in a facility

15%

of this provider's 529 patients got this service
1
FRANK HOLT

SUPPLY, N.C. 28462

Gastroenterology

11%

of this provider's 679 patients got this service
76

Performed in a facility

11%

of this provider's 679 patients got this service
1
ROBERT RUBEN

SOMERSWORTH, N.H. 03878

Specialist

5%

of this provider's 1,516 patients got this service
75

Performed in a facility

5%

of this provider's 1,516 patients got this service
1.1
JUAN ALBERTI FLOR

MIAMI, Fla. 33126

Gastroenterology

11%

of this provider's 653 patients got this service
74

Performed in a facility

11%

of this provider's 653 patients got this service
1
GEN GASTRO LLC

BETTENDORF, Iowa 52722

Ambulatory Health Care Facilities, Ambulatory Surgical

4%

of this provider's 1,730 patients got this service
74

Performed in a facility

4%

of this provider's 1,730 patients got this service
1
FLUSHING ENDOSCOPY CENTER, LLC

FLUSHING, N.Y. 11355

Ambulatory Health Care Facilities, Ambulatory Surgical

6%

of this provider's 1,084 patients got this service
73

Performed in a facility

6%

of this provider's 1,084 patients got this service
1
SHAHNAWAZ JAFFER

COVINA, Calif. 91723

Gastroenterology

26%

of this provider's 269 patients got this service
72

Performed in a facility

26%

of this provider's 269 patients got this service
1

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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