THE NORTHERN NV ENDOSCOPY ASC LLC SOS Verified
5250 KIETZKE LN, RENO, NV 89511
NPI Number
1740254572
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: THE NORTHERN NV ENDOSCOPY ASC, LLC
Entity Number: LLC19663-2003
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2003-12-17
Status Changed: 2010-02-03
Name Match: 95%
Registered Agent
Name: CORPORATION SERVICE COMPANY*
Type: Commercial Registered Agent
Address: 112 NORTH CURRY STREET, Carson City, NV, 89703
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | AmSurg Holdings, LLC | 1A Burton Hills Blvd, Ste 300, Nashville, TN | Active |
| Manager | Phil Swanger | 1A Burton Hills Blvd, Ste 300, Nashville, TN | Active |
| Manager | Thinh Tang MD | 1A Burton Hills Blvd, Ste 300, Nashville, TN | Active |
| Manager | Brandon Roberto | 1A Burton Hills Blvd, Ste 300, Nashville, TN | Active |
| Manager | Sumodh Kalathil, MD, | 1A Burton Hills Blvd, Ste 300, Nashville, TN | Active |
Total Medicaid Payments
$120,999
-92% vs specialty average
Patients Seen
765
Total Claims
900
$ Per Patient
$158
Specialty avg: $286
Specialty Rank
#37 of 52
Clinic/Center, Ambulatory Surgical providers in Nevada
Peer Average
$1,437,364
Average total for Clinic/Center, Ambulatory Surgical
Claims per Patient
1.2
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 | |
| 2019 | $592 | |
| 2020 | $1,495 | |
| 2021 | $1,581 | |
| 2022 | $18,022 | |
| 2023 | $44,915 | |
| 2024 | $54,394 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 634 | $69,376 | 57.3% | $109 |
| 45380 | Colonoscopy with biopsy (tissue sample) | 201 | $38,361 | 31.7% | $191 |
| 45378 | Colonoscopy — camera exam of the large intestine (diagnostic) | 37 | $10,793 | 8.9% | $292 |
| 45385 | Colonoscopy with removal of polyps (growths) | 14 | $2,469 | 2.0% | $176 |
| 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 transfe... | 14 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.