Physician
Indianapolis Gastroenterology, LLC
Indianapolis Gastroenterology, LLC was paid $1.06M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoINDIANAPOLIS GASTROENTEROLOGY, LLC
INDIANAPOLIS, IN 46237
INDIANAPOLIS, IN 46237
33aNPI1518964493assigned 07/07/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$1.06M
24GClaims21,614
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Indiana
Rank by total paid#7 of 38
Median peer was paid$72K
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 | 4,837 | $33K | |
| 2019 | 2,748 | $165K | |
| 2020 | 2,264 | $131K | |
| 2021 | 2,092 | $126K | |
| 2022 | 3,474 | $213K | |
| 2023 | 3,491 | $216K | |
| 2024incomplete | 2,708 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 9,181 | 7,699 | $472K |
| 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 | 18% | 2,728 | 2,354 | $188K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 11% | 2,221 | 1,944 | $119K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.5% | 1,565 | 1,389 | $101K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 2,042 | 1,795 | $68K |
| 88312 | 3.1% | 703 | 620 | $33K | |
| 88313 | 1.6% | 477 | 414 | $17K | |
| 99223 | Prolong inpt eval add15 m | 1.4% | 248 | 228 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 826 | 430 | $10K |
| 43235 | <1% | 330 | 300 | $10K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 298 | 268 | $10K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 212 | 199 | $6K |
7 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 183 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 82 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 191 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 30 | $1K |
| 43248 | <1% | 13 | $879.77 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 0% | 227 | $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 officialMICHAEL, CHERYL (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Midwest Gastroenterology LLC | Indianapolis, IN | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.