Clinic
PGC Endoscopy Center for Excellence, LLC
PGC Endoscopy Center for Excellence, LLC was paid $1.06M by Medicaid between May 2018 and Dec 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 58% of everything it billed.
33Billing provider infoPGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
33aNPI1972678449assigned 11/21/2006
33bProvider typeEndoscopy Clinic/Center
28Total paid$1.06M
24GClaims3,354
24DCodes billed8
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Endoscopy Clinic/Center providers in Pennsylvania
Rank by total paid#1 of 9
Median peer was paid$69K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28 | $0.00 | |
| 2020 | 292 | $108K | |
| 2021 | 1,062 | $258K | |
| 2022 | 1,345 | $393K | |
| 2023 | 406 | $155K | |
| 2024incomplete | 221 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 58% | 1,708 | 1,623 | $615K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 15% | 391 | 371 | $160K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13% | 358 | 336 | $143K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.2% | 252 | 243 | $97K |
| 00731 | 2.6% | 291 | 272 | $28K | |
| 00811 | 1.8% | 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 | 0% | 72 | 65 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 72 | 65 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMERCY, ASHLEY (ADMINISTRATOR)