SOUTH BEND IN ENDOSCOPY ASC LLC
Ambulatory Surgical Clinic/Center · SOUTH BEND, IN
Organization Active NPI 1427051796
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,838 | 2,247 | $3,338,445 | $1,050,982 | $901,131 |
| 2023 | 1,807 | 2,289 | $3,412,023 | $1,045,891 | $870,993 |
| 2022 | 1,846 | 2,505 | $3,742,410 | $1,104,858 | $891,998 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 551 | $577 | $482 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 465 | $448 | $448 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 438 | $353 | $269 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 197 | $447 | $447 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 146 | $493 | $393 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 133 | $400 | $305 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 113 | $443 | $345 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 90 | $375 | $293 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 31 | $794 | $618 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 30 | $775 | $620 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 15 | $331 | $270 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 17-009761-1 | IN |
| Endoscopy Clinic/Center | 261QE0800X | 010076 | IN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.