INDIANA ENDOSCOPY CENTERS LLC

NPI: 1811172729 · AVON, IN 46123 · Ambulatory Surgical Clinic/Center · NPI assigned 01/09/2008

$4K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2018-07

First Month

2021-08

Last Month

Provider Details

Authorized Official	BOEGLIN, ROBERT (PRESIDENT)
NPI Enumeration Date	01/09/2008

Other providers sharing the same authorized official: BOEGLIN, ROBERT

Provider	City	State	Total Paid
INDIANA ENDOSCOPY CENTERS LLC	INDIANAPOLIS	IN	$13K
BELTWAY SURGERY CENTERS, L.L.C.	INDIANAPOLIS	IN	$6K
BELTWAY SURGERY CENTERS LLC	INDIANAPOLIS	IN	$0.00
SENATE STREET SURGERY CENTER LLC	INDIANAPOLIS	IN	$0.00

Year	Claims	Total Paid
2018	13	$0.00
2021	34	$4K

Code	Description	Claims	Beneficiaries	Total Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	15	12	$4K
88305	Level IV - Surgical pathology, gross and microscopic examination	19	15	$0.00
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 transfer or hospital admission upon discharge from the facility	13	13	$0.00