$802.5M in total Medicare payments across 10 years
Procedure 45378 (Diagnostic exam of large bowel using a flexible endoscope) received $802.5M in total Medicare payments.
Across 4.3M services, the average Medicare payment was $185.56 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $128.9M | 635.5K | — |
| 2015 | $120.8M | 583.2K | -6.3% |
| 2016 | $104.7M | 542.7K | -13.3% |
| 2017 | $82.9M | 494.0K | -20.8% |
| 2018 | $77.0M | 455.3K | -7.2% |
| 2019 | $74.8M | 429.6K | -2.8% |
| 2020 | $53.7M | 307.8K | -28.2% |
| 2021 | $57.8M | 324.4K | +7.7% |
| 2022 | $52.0M | 293.5K | -10.2% |
| 2023 | $49.9M | 258.8K | -4.0% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Bel Air Endoscopy Asc Llc | Ambulatory Surgical Center | MD | $194.1K | 609 | $318.67 |
| 2 | Gastro Operating Company Llc | Ambulatory Surgical Center | NY | $180.9K | 471 | $384.12 |
| 3 | Brooklyn Sc Llc | Ambulatory Surgical Center | NY | $140.2K | 349 | $401.61 |
| 4 | Dallas Endoscopy Center, Ltd | Ambulatory Surgical Center | TX | $137.6K | 411 | $334.85 |
| 5 | Elms Endoscopy Center Llc | Ambulatory Surgical Center | SC | $114.6K | 378 | $303.06 |
| 6 | Digestivecare, Llc | Ambulatory Surgical Center | TN | $113.3K | 385 | $294.28 |
| 7 | Medstar Medical Group - Southern Maryland Llc | Ambulatory Surgical Center | MD | $108.9K | 340 | $320.26 |
| 8 | Endoscopy Center Of Santa Maria Inc | Ambulatory Surgical Center | CA | $108.5K | 258 | $420.49 |
| 9 | Nhpe, Llc | Ambulatory Surgical Center | NY | $101.6K | 272 | $373.66 |
| 10 | Athens Gastroenterology Endoscopy Center Inc | Ambulatory Surgical Center | GA | $101.2K | 305 | $331.79 |
| 11 | Digestive Disease Center Of Central New York, Llc | Ambulatory Surgical Center | NY | $100.4K | 297 | $338.16 |
| 12 | Kips Bay Endoscopy Center, Llc | Ambulatory Surgical Center | NY | $94.0K | 242 | $388.30 |
| 13 | West Side Gi, Llc | Ambulatory Surgical Center | NY | $93.9K | 249 | $376.91 |
| 14 | East Valley Endoscopy Llc | Ambulatory Surgical Center | AZ | $87.2K | 273 | $319.56 |
| 15 | Murdock Ambulatory Surgery Center Llc | Ambulatory Surgical Center | FL | $86.4K | 283 | $305.40 |
| 16 | Digestive Disease Center | Ambulatory Surgical Center | NV | $86.4K | 236 | $366.07 |
| 17 | Physicians Surgery Center At Glendale Adventist, Llc | Ambulatory Surgical Center | CA | $82.8K | 228 | $363.19 |
| 18 | Specialty Surgical Center Of Beverly Hills Lp | Ambulatory Surgical Center | CA | $80.9K | 211 | $383.62 |
| 19 | Chevy Chase Ambulatory Center Lp | Ambulatory Surgical Center | CA | $80.0K | 204 | $392.25 |
| 20 | Sierra Endoscopy Center, Llc | Ambulatory Surgical Center | CA | $78.4K | 209 | $375.05 |
| 21 | Gastrointestinal Associates Endoscopy Center, Llc | Ambulatory Surgical Center | MS | $77.8K | 266 | $292.50 |
| 22 | Greenville Endoscopy Center Inc | Ambulatory Surgical Center | SC | $75.2K | 247 | $304.63 |
| 23 | May Street Surgi Center, Llc | Ambulatory Surgical Center | NJ | $74.0K | 218 | $339.30 |
| 24 | Glen Endoscopy Center, Llc | Ambulatory Surgical Center | IL | $73.0K | 211 | $346.09 |
| 25 | Seaford Endoscopy Center Llc | Ambulatory Surgical Center | DE | $72.5K | 233 | $311.02 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| CA | $6.0M | 27.5K | 802 | $7.5K |
| NY | $5.7M | 24.8K | 689 | $8.3K |
| FL | $4.4M | 21.7K | 669 | $6.5K |
| TX | $2.8M | 14.8K | 518 | $5.4K |
| NJ | $2.3M | 10.5K | 336 | $6.7K |
| MD | $1.8M | 8.6K | 219 | $8.2K |
| PA | $1.8M | 9.6K | 391 | $4.6K |
| IL | $1.7M | 9.7K | 343 | $5.1K |
| GA | $1.6M | 8.4K | 284 | $5.6K |
| OH | $1.5M | 8.8K | 342 | $4.5K |
| NC | $1.5M | 7.8K | 280 | $5.3K |
| TN | $1.3M | 7.7K | 233 | $5.7K |
| SC | $1.3M | 7.0K | 198 | $6.5K |
| AZ | $1.1M | 5.3K | 173 | $6.4K |
| MA | $980.9K | 6.0K | 209 | $4.7K |
| MI | $970.4K | 5.6K | 220 | $4.4K |
| VA | $962.7K | 5.6K | 212 | $4.5K |
| AL | $842.9K | 5.2K | 171 | $4.9K |
| MO | $805.7K | 5.0K | 205 | $3.9K |
| NV | $730.1K | 3.2K | 72 | $10.1K |
| MS | $693.3K | 3.9K | 100 | $6.9K |
| IN | $665.1K | 4.1K | 180 | $3.7K |
| LA | $662.0K | 3.7K | 123 | $5.4K |
| AR | $623.5K | 3.6K | 97 | $6.4K |
| KS | $601.6K | 3.6K | 119 | $5.1K |
| WA | $555.7K | 2.8K | 132 | $4.2K |
| KY | $542.0K | 3.7K | 149 | $3.6K |
| OK | $521.6K | 3.2K | 112 | $4.7K |
| CO | $478.6K | 2.4K | 108 | $4.4K |
| CT | $434.7K | 2.2K | 88 | $4.9K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.