Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC

NPI: 1972678449 · PHILADELPHIA, PA 19111 · Endoscopy Clinic/Center · NPI assigned 11/21/2006

$1.06M
Total Medicaid Paid
3,354
Total Claims
3,171
Beneficiaries
8
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERCY, ASHLEY (ADMINISTRATOR)
NPI Enumeration Date11/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $0.00
2020 292 $108K
2021 1,062 $258K
2022 1,345 $393K
2023 406 $155K
2024 221 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,708 1,623 $615K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 391 371 $160K
45380 Colonoscopy, flexible; with biopsy, single or multiple 358 336 $143K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 252 243 $97K
00731 291 272 $28K
00811 210 196 $20K
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 72 65 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 72 65 $0.00