35 Statistics About GI/Endoscopy

Here are 35 statistics about GI/endoscopy.

1. Mean gross charges per GI/endoscopy case in ASCs is $3,305.

2. Mean gross net revenue per GI/endoscopy case in ASCs is $816.

3. GI/endoscopy cases make up 24 percent of total ASC cases.

4. Nine percent of surgery center rooms are designated for endoscopy.

5. Twenty-seven percent of single-specialty surgery centers are driven by gastroenterology procedures.

6. Gastroenterology is the most common surgical specialty in both single- and multi-specialty ASCs. It is present in 34 percent of all ASCs and and 3,744 GI procedures are performed annually in each ASC.

7. Between 2000 and 2009, the percentage of surgery centers offering gastroenterology procedures increased from 11 percent to 34 percent.

Compensation
8. Gastroenterologists earned a mean annual salary of $496,139 in 2009.

9. Gastroenterologists employed by a hospital earned a mean salary of $484,275 in 2009.

10. Gastroenterologists not employed by a hospital earned a mean salary of $461,640 in 2009.

11. Gastroenterologists in the Eastern United States earned a mean salary of $440,584 in 2009.

12. Gastroenterologists in the Midwest United States earned a mean salary of $507,717 in 2009.

13. Gastroenterologists in the Southern United States earned a mean salary of $482,700 in 2009.

14. Gastroenterologists in the Western United States earned a mean salary of $432,371 in 2009.

Medicare charges

Here is the average 2008 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for 16 GI procedures commonly performed in ASCs.

15. Upper stomach-intestine scope, simple (CPT 43234)
•    average sub charge: $1,025
•    average allow charge: $329
•    average payment: $259

16. Upper stomach-intestine scope for diagnosis (CPT 43235)
•    average sub charge: $1,117
•    average allow charge $325
•    average payment: $255

17. Stomach-intestine scope, inject intestine wall (CPT 43236)
•    average sub charge: $1,359
•    average allow charge $338
•    average payment: $267

18. Upper stomach-intestine scope for biopsy (CPT 43239)
•    average sub charge: $1,451
•    average allow charge $408
•    average payment: $321

19. Stomach-intestine scope ultrasound guided biopsy (CPT 43242)
•    average sub charge: $2,116
•    average allow charge $404
•    average payment: $320

20. Stomach-intestine scope for foreign body removal (CPT 43247)
•    average sub charge: $1,458
•    average allow charge $408
•    average payment: $322

21. Stomach-intestine scope with ultrasound exam (CPT 43259)
•    average sub charge: $2,232
•    average allow charge $452
•    average payment: $359

22. Scope of upper small intestine (CPT 44360)
•    average sub charge: $1,419
•    average allow charge $416
•    average payment: $328

23. Scope of upper small intestine with biopsy (CPT 44361)
•    average sub charge: $1,344
•    average allow charge $425
•    average payment: $336

24. Scope of colon thru ostomy for diagnosis (CPT 44388)
•    average sub charge: $1,325
•    average allow charge $334
•    average payment: $262

25. Scope of colon with biopsy thru ostomy (CPT 44389)
•    average sub charge: $1,354
•    average allow charge $325
•    average payment: $255

26. Scope of sigmoid colon only with biopsy (CPT 45331)
•    average sub charge: $967
•    average allow charge $267
•    average payment: $208

27. Scope of colon for diagnosis (CPT 45378)
•    average sub charge: $1,502
•    average allow charge $422
•    average payment: $330

28. Scope of colon with biopsy (CPT 45380)
•    average sub charge: $1,549
•    average allow charge $406
•    average payment: $318

29. Cancer screen colon scope, high risk patient (HCPCS G0105)
•    average sub charge: $1,308
•    average allow charge $409
•    average payment: $306

30. Cancer screen colon scope, not high risk patient (HCPCS G0121)
•    average sub charge: $1,415
•    average allow charge $412
•    average payment: $308

U.S. GI/endoscopic device market

31. In 2009, the U.S. market for GI endoscopic devices was valued at over $1.8 billion, an increase of more than 8 percent from 2008.

32. More than 55 million procedures were performed with GI endoscopic devices in 2009, nearly 50 percent of them colonoscopies.

33. GI endoscopes represented the largest segment for GI endoscopic devices in 2009, but capsule endoscopic devices are expected to grow to the second-largest market segment by 2016, thanks to advances in camera capsule technology.

34. The fastest-growing segment in the U.S. market for GI endoscopy in 2009 was anti-reflux devices; the market for them increased by more than 300 percent over 2008. This market growth is expected to increase at a compound annual growth rate of 67 percent by 2016.

35. Virtual colonoscopy procedures, less invasive than conventional colonoscopy, grew by 2.9 percent in 2009 from 2008 and are expected to show moderate to strong growth by 2016 as the population ages and trial results show their effectiveness.

Sources:
Items 1-3: VMG Health Multi-Specialty ASC Intellimarker 2010
Items 4-7: SDI's Outpatient Surgery Center Profiling Solution
Items 8-14: MGMA 2010 Physician Compensation and Production Survey
Items 15-30: CMS
Items 31-35: iData Research's U.S. Market for Gastrointestinal Endoscopic Devices

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