GUNDERSEN LUTHERAN MEDICAL CENTER INC
NPI: 1003159195
· VIROQUA, WI 54665
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 03/27/2013
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ADANK, KARI controls 16+ related entities in our dataset. Read more
$375K
Total Medicaid Paid
Provider Details
| Authorized Official | ADANK, KARI (CCO) |
| Parent Organization | GUNDERSEN LUTHERAN MEDICAL CENTER INC |
| NPI Enumeration Date | 03/27/2013 |
Related Entities
Other providers sharing the same authorized official: ADANK, KARI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,338 |
$35K |
| 2019 |
5,399 |
$60K |
| 2020 |
8,194 |
$86K |
| 2021 |
7,096 |
$57K |
| 2022 |
2,267 |
$23K |
| 2023 |
3,836 |
$80K |
| 2024 |
2,117 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,511 |
954 |
$374K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,760 |
570 |
$910.64 |
| 84460 |
|
912 |
867 |
$28.00 |
| 80051 |
|
451 |
432 |
$15.06 |
| 82565 |
|
907 |
864 |
$11.00 |
| 82310 |
|
953 |
863 |
$5.92 |
| 82040 |
|
900 |
865 |
$5.68 |
| 84100 |
|
1,021 |
864 |
$5.45 |
| 85018 |
|
1,106 |
824 |
$2.72 |
| 84132 |
|
227 |
132 |
$0.00 |
| 85027 |
|
897 |
865 |
$0.00 |
| 84075 |
|
897 |
864 |
$0.00 |
| 82728 |
|
317 |
303 |
$0.00 |
| 87340 |
|
165 |
141 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
72 |
69 |
$0.00 |
| 86706 |
|
88 |
86 |
$0.00 |
| 82435 |
|
132 |
131 |
$0.00 |
| 83550 |
|
317 |
303 |
$0.00 |
| 86803 |
|
160 |
155 |
$0.00 |
| 86704 |
|
87 |
86 |
$0.00 |
| 83970 |
|
288 |
278 |
$0.00 |
| 82374 |
|
132 |
131 |
$0.00 |
| 83540 |
|
317 |
303 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,508 |
389 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,077 |
407 |
$0.00 |
| 84295 |
|
132 |
131 |
$0.00 |
| 84520 |
|
1,913 |
881 |
$0.00 |