Southeastern Indiana Gastroenterology

Southeastern Indiana Gastroenterology was paid $18K by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 36% of everything it billed.

33Billing provider infoSOUTHEASTERN INDIANA GASTROENTEROLOGY
COLUMBUS, IN 47201

33aNPI1457332413assigned 11/08/2005

33bProvider typeSpecialist

28Total paid$18K

24GClaims593

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Specialist providers in Indiana

Rank by total paid#63 of 90

Median peer was paid$98K

This provider vs. median0.2×

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	408	$3K
2019	185	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	36%	178	165	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	33%	263	256	$6K
45380	Colonoscopy, flexible; with biopsy, single or multiple	28%	79	76	$5K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.9%	45	43	$499.72
99152		0%	13	12	$0.00
91200		0%	15	15	$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 officialCOLE, DIANE (PATIENT ACCOUNT REPRESENTATIVE)