Physician
Michiana Gastroenterology, INC
Michiana Gastroenterology, INC was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.
33Billing provider infoMICHIANA GASTROENTEROLOGY, INC
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
33aNPI1821094525assigned 06/27/2005
33bProvider typeGastroenterology Physician
28Total paid$1.10M
24GClaims17,166
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Indiana
Rank by total paid#1 of 33
Median peer was paid$32K
This provider vs. median34×
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 | 2,755 | $40K | |
| 2019 | 2,674 | $170K | |
| 2020 | 2,331 | $154K | |
| 2021 | 2,160 | $175K | |
| 2022 | 2,318 | $171K | |
| 2023 | 2,822 | $214K | |
| 2024incomplete | 2,106 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 3,558 | 3,353 | $284K |
| 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 | 25% | 4,808 | 4,528 | $280K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 25% | 4,502 | 4,000 | $275K |
| 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% | 1,826 | 1,734 | $71K |
| 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 | 6.3% | 950 | 879 | $70K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.2% | 592 | 556 | $68K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.9% | 288 | 280 | $21K |
| 88312 | 1.0% | 193 | 181 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 183 | 167 | $11K |
| 99221 | <1% | 101 | 97 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 20 | 18 | $2K |
| 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% | 30 | 30 | $2K |
4 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $395.59 |
| 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) | <1% | 31 | $15.21 |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 0% | 53 | $0.00 |
| 99152 | 0% | 13 | $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 officialWALKER, MELISSA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Dignity Health Medical Group Nevada, LLC | Henderson, NV | $1.27M |
| A Wonderful Way to Ride,llc | Danville, VA | $243K |
| Dignity Health | Henderson, NV | $143K |
| Gainesville Hospital District | Gainesville, TX | $419.96 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.