Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Fort Wayne › NPI 1164662805
Physician

Lutheran Medical Group LLC

Lutheran Medical Group LLC was paid $21.97M by Medicaid between Jan 2018 and Dec 2024, across 195 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoLUTHERAN MEDICAL GROUP LLC
FORT WAYNE, IN 46804
33aNPI1164662805assigned 02/20/2009
28Total paid$21.97M
24GClaims567,499
24DCodes billed195
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Indiana

Rank by total paid#5 of 316
Median peer was paid$17K
This provider vs. median1,299×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2018105,025$1.70M
201992,782$3.17M
202071,482$2.81M
202184,741$4.03M
202284,827$4.02M
202376,423$3.51M
2024incomplete52,219$2.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 152,537 129,981 $9.82M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 105,737 84,937 $5.06M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.2% 22,244 8,736 $918K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.8% 24,261 9,177 $625K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.3% 16,561 15,042 $512K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.2% 5,973 4,689 $478K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 6,342 4,648 $473K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 5,036 3,994 $411K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.9% 4,925 4,293 $410K
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 1.8% 5,007 4,599 $393K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 3,361 2,549 $275K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 3,742 3,263 $268K
183 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.1% 2,611 $240K
99222 Initial hospital care, per day, moderate complexity <1% 3,833 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 35,663 $143K
99223 Prolong inpt eval add15 m <1% 2,007 $134K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,131 $125K
99205 Prolong outpt/office vis <1% 1,201 $120K
90472 Immunization administration, each additional vaccine (list separately) <1% 9,074 $118K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13,627 $110K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 830 $82K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,294 $66K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 423 $59K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 429 $55K
99203 Doctor's office visit, new patient (routine) <1% 1,623 $54K
99238 Hospital discharge day management, 30 minutes or less <1% 1,817 $47K
83036 Hemoglobin; glycosylated (A1C) <1% 8,874 $45K
59425 <1% 806 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 758 $41K
93793 <1% 9,473 $40K
36415 Collection of venous blood by venipuncture <1% 17,025 $37K
95251 <1% 2,059 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 925 $27K
80061 Lipid panel <1% 5,016 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 648 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,459 $22K
99460 <1% 395 $22K
80053 Comprehensive metabolic panel <1% 4,153 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 702 $19K
93295 <1% 928 $18K
93296 <1% 2,423 $18K
94726 <1% 1,546 $17K
95806 <1% 503 $16K
94729 <1% 1,577 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,061 $15K
85610 <1% 7,570 $15K
99383 <1% 160 $14K
99305 <1% 705 $14K
84443 Thyroid stimulating hormone (TSH) <1% 2,122 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,305 $12K
94060 <1% 1,293 $12K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 281 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,840 $10K
90688 <1% 1,200 $10K
99239 Hospital discharge day management, more than 30 minutes <1% 114 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 453 $9K
93294 <1% 840 $9K
59426 <1% 170 $8K
90686 <1% 2,066 $8K
93248 <1% 484 $8K
93000 <1% 1,697 $7K
93244 <1% 506 $7K
81003 <1% 3,695 $7K
80305 <1% 683 $6K
90473 <1% 553 $5K
93297 <1% 1,039 $5K
99307 <1% 574 $5K
85027 <1% 1,762 $5K
93018 <1% 775 $4K
96450 <1% 98 $4K
93016 <1% 482 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 255 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 230 $3K
99152 <1% 659 $3K
81002 <1% 1,320 $2K
90870 <1% 136 $2K
93298 <1% 273 $2K
93321 <1% 454 $2K
99221 <1% 179 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 1,073 $2K
80050 General health panel <1% 133 $2K
82565 <1% 1,136 $2K
84460 <1% 1,123 $2K
84450 <1% 1,074 $2K
86140 <1% 873 $2K
94010 <1% 281 $2K
93307 <1% 61 $2K
90670 <1% 2,176 $2K
84439 <1% 618 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 445 $2K
99306 Prolong nursin fac eval 15m <1% 20 $1K
93304 <1% 69 $1K
87428 <1% 38 $1K
99406 <1% 80 $1K
99318 <1% 94 $1K
52000 <1% 14 $1K
93325 <1% 583 $1K
82728 <1% 238 $1K
99464 <1% 34 $970.27
90649 <1% 52 $942.41
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 76 $917.97
99384 <1% 19 $896.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 68 $895.72
82043 <1% 423 $844.33
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 73 $808.86
96161 <1% 279 $736.88
82570 <1% 423 $731.63
80051 <1% 438 $681.70
81001 <1% 670 $626.16
84520 <1% 616 $597.53
87807 <1% 67 $559.93
90792 Psychiatric diagnostic evaluation with medical services <1% 27 $532.77
90734 <1% 500 $456.19
J1010 Injection, methylprednisolone acetate, 1 mg <1% 35 $401.83
96127 <1% 93 $399.23
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15 $344.22
84550 <1% 141 $332.09
82550 <1% 186 $316.17
85652 <1% 371 $310.54
90474 <1% 95 $305.36
84481 <1% 46 $282.32
90648 <1% 679 $274.45
90680 <1% 691 $265.73
90651 <1% 690 $252.21
76937 <1% 31 $232.70
84153 <1% 32 $230.34
94618 <1% 15 $228.35
99173 <1% 173 $213.76
93320 <1% 17 $174.81
93458 <1% 64 $173.42
J1071 Injection, testosterone cypionate, 1 mg <1% 52 $148.38
83540 <1% 112 $144.88
99442 <1% 37 $136.77
90633 <1% 1,071 $128.67
99385 <1% 86 $126.53
99397 <1% 17 $126.20
3044F <1% 40 $120.00
83735 <1% 32 $118.65
82248 <1% 69 $118.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,328 $116.56
80076 <1% 122 $109.24
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 160 $107.39
90698 <1% 605 $99.92
90723 <1% 650 $88.45
93312 <1% 12 $81.12
83550 <1% 60 $67.97
82947 <1% 15 $57.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 13 $57.03
90744 <1% 376 $49.46
90715 <1% 242 $45.66
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12 $44.66
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 45 $3.86
90647 <1% 112 $0.04
90710 <1% 208 $0.01
90620 <1% 239 $0.01
90696 <1% 196 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 948 $0.00
4187F 0% 131 $0.00
G8482 Influenza immunization administered or previously received 0% 792 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 431 $0.00
97803 0% 39 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 146 $0.00
90700 0% 78 $0.00
81025 0% 124 $0.00
4040F 0% 203 $0.00
0502F 0% 270 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 195 $0.00
2028F 0% 94 $0.00
90707 0% 72 $0.00
4274F 0% 42 $0.00
1090F 0% 12 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 46 $0.00
90671 0% 31 $0.00
90685 0% 22 $0.00
3288F 0% 31 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 637 $0.00
1036F 0% 372 $0.00
3008F 0% 1,166 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 349 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 35 $0.00
4000F 0% 17 $0.00
1101F 0% 35 $0.00
G0008 Administration of influenza virus vaccine 0% 17 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 53 $0.00
1220F 0% 26 $0.00
1111F 0% 63 $0.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 0% 62 $0.00
90716 0% 35 $0.00
1034F 0% 14 $0.00
4010F 0% 32 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 16 $0.00
99024 0% 12 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 0% 28 $0.00
90619 0% 18 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 33 $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 officialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
Same official

Other billing entities under MUSIC, KRISTINA

Full network →
ProviderLocationPaid
LA Porte Clinic Company LLCValparaiso, IN$18.77M
Vicksburg Clinic LLCVicksburg, MS$15.98M
Northwest Allied Physicians LLCTucson, AZ$10.30M
Kosciusko Medical Group LLCWarsaw, IN$8.81M
Knoxville Hma Physician Management, LLCKnoxville, TN$8.70M
Wesley Physician Services LLCHattiesburg, MS$8.20M
Porter Physician Services LLCValparaiso, IN$6.44M
Hood Medical GroupGranbury, TX$6.40M
Northwest Physicians LLCSpringdale, AR$5.81M
QHG of Fort Wayne Company LLCFort Wayne, IN$4.24M
Vicksburg Clinic LLCVicksburg, MS$4.10M
Dukes Physician Services LLCPeru, IN$3.72M
Bluffton Physician Services LLCBluffton, IN$3.45M
Bullhead City Clinic CorpBullhead City, AZ$3.13M
Northwest Urgent Care LLCTucson, AZ$2.64M
River Oaks Management Company LLCJackson, MS$2.56M
Scranton Quincy Clinic Company LLCScranton, PA$2.03M
Foley Clinic CorpGulf Shores, AL$2.01M
Mat Su Valley Medical Center LLCWasilla, AK$1.95M
Medstat LLCWarsaw, IN$1.76M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.