Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LUTHERAN MEDICAL GROUP LLC

NPI: 1164662805 · FORT WAYNE, IN 46804 · Internal Medicine Physician · NPI assigned 02/20/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$21.97M
Total Medicaid Paid
567,499
Total Claims
437,021
Beneficiaries
195
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date02/20/2009

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M
MEDSTAT LLC WARSAW IN $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105,025 $1.70M
2019 92,782 $3.17M
2020 71,482 $2.81M
2021 84,741 $4.03M
2022 84,827 $4.02M
2023 76,423 $3.51M
2024 52,219 $2.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 152,537 129,981 $9.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 105,737 84,937 $5.06M
99233 Prolong inpt eval add15 m 22,244 8,736 $918K
99232 Subsequent hospital care, per day, moderate complexity 24,261 9,177 $625K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,561 15,042 $512K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,973 4,689 $478K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,342 4,648 $473K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,036 3,994 $411K
99215 Prolong outpt/office vis 4,925 4,293 $410K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,007 4,599 $393K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,361 2,549 $275K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,742 3,263 $268K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,611 1,123 $240K
99222 Initial hospital care, per day, moderate complexity 3,833 3,244 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 35,663 27,561 $143K
99223 Prolong inpt eval add15 m 2,007 1,640 $134K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,131 3,150 $125K
99205 Prolong outpt/office vis 1,201 1,103 $120K
90472 Immunization administration, each additional vaccine (list separately) 9,074 5,623 $118K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,627 9,519 $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 830 500 $82K
99308 Subsequent nursing facility care, per day, straightforward 5,294 4,435 $66K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 423 362 $59K
45380 Colonoscopy, flexible; with biopsy, single or multiple 429 358 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,623 1,396 $54K
99238 Hospital discharge day management, 30 minutes or less 1,817 1,495 $47K
83036 Hemoglobin; glycosylated (A1C) 8,874 7,802 $45K
59425 806 543 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 758 703 $41K
93793 9,473 5,388 $40K
36415 Collection of venous blood by venipuncture 17,025 13,879 $37K
95251 2,059 1,849 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 925 819 $27K
80061 Lipid panel 5,016 4,255 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 648 597 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,459 1,005 $22K
99460 395 328 $22K
80053 Comprehensive metabolic panel 4,153 3,545 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 702 650 $19K
93295 928 833 $18K
93296 2,423 2,131 $18K
94726 1,546 1,452 $17K
95806 503 422 $16K
94729 1,577 1,483 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,061 360 $15K
85610 7,570 4,509 $15K
99383 160 128 $14K
99305 705 471 $14K
84443 Thyroid stimulating hormone (TSH) 2,122 1,723 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,305 2,681 $12K
94060 1,293 1,212 $12K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 281 244 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,840 1,588 $10K
90688 1,200 1,042 $10K
99239 Hospital discharge day management, more than 30 minutes 114 109 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 453 387 $9K
93294 840 733 $9K
59426 170 79 $8K
90686 2,066 1,579 $8K
93248 484 444 $8K
93000 1,697 1,413 $7K
93244 506 462 $7K
81003 3,695 2,452 $7K
80305 683 395 $6K
90473 553 316 $5K
93297 1,039 579 $5K
99307 574 451 $5K
85027 1,762 1,417 $5K
93018 775 717 $4K
96450 98 25 $4K
93016 482 456 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 255 232 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 230 198 $3K
99152 659 525 $3K
81002 1,320 932 $2K
90870 136 40 $2K
93298 273 226 $2K
93321 454 400 $2K
99221 179 163 $2K
80048 Basic metabolic panel (calcium, ionized) 1,073 800 $2K
80050 General health panel 133 121 $2K
82565 1,136 912 $2K
84460 1,123 917 $2K
84450 1,074 882 $2K
86140 873 729 $2K
94010 281 252 $2K
93307 61 59 $2K
90670 2,176 1,462 $2K
84439 618 491 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 445 296 $2K
99306 Prolong nursin fac eval 15m 20 20 $1K
93304 69 56 $1K
87428 38 35 $1K
99406 80 69 $1K
99318 94 84 $1K
52000 14 12 $1K
93325 583 486 $1K
82728 238 192 $1K
99464 34 24 $970.27
90649 52 47 $942.41
J1050 Injection, medroxyprogesterone acetate, 1 mg 76 63 $917.97
99384 19 13 $896.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 68 38 $895.72
82043 423 332 $844.33
95810 Polysomnography; sleep staging with 4 or more additional parameters 73 66 $808.86
96161 279 246 $736.88
82570 423 332 $731.63
80051 438 318 $681.70
81001 670 531 $626.16
84520 616 469 $597.53
87807 67 30 $559.93
90792 Psychiatric diagnostic evaluation with medical services 27 17 $532.77
90734 500 270 $456.19
J1010 Injection, methylprednisolone acetate, 1 mg 35 31 $401.83
96127 93 79 $399.23
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15 13 $344.22
84550 141 133 $332.09
82550 186 154 $316.17
85652 371 292 $310.54
90474 95 69 $305.36
84481 46 38 $282.32
90648 679 465 $274.45
90680 691 411 $265.73
90651 690 387 $252.21
76937 31 25 $232.70
84153 32 25 $230.34
94618 15 15 $228.35
99173 173 164 $213.76
93320 17 14 $174.81
93458 64 49 $173.42
J1071 Injection, testosterone cypionate, 1 mg 52 25 $148.38
83540 112 91 $144.88
99442 37 30 $136.77
90633 1,071 690 $128.67
99385 86 72 $126.53
99397 17 14 $126.20
3044F 40 40 $120.00
83735 32 27 $118.65
82248 69 56 $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) 1,328 1,188 $116.56
80076 122 89 $109.24
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 160 153 $107.39
90698 605 375 $99.92
90723 650 466 $88.45
93312 12 12 $81.12
83550 60 52 $67.97
82947 15 12 $57.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $57.03
90744 376 240 $49.46
90715 242 163 $45.66
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $44.66
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 45 26 $3.86
90647 112 83 $0.04
90710 208 139 $0.01
90620 239 134 $0.01
90696 196 141 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 948 844 $0.00
4187F 131 123 $0.00
G8482 Influenza immunization administered or previously received 792 688 $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) 431 371 $0.00
97803 39 38 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 146 128 $0.00
90700 78 46 $0.00
81025 124 100 $0.00
4040F 203 180 $0.00
0502F 270 185 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 195 172 $0.00
2028F 94 91 $0.00
90707 72 40 $0.00
4274F 42 34 $0.00
1090F 12 12 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 46 40 $0.00
90671 31 24 $0.00
90685 22 13 $0.00
3288F 31 27 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 637 565 $0.00
1036F 372 338 $0.00
3008F 1,166 1,048 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 349 318 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 35 25 $0.00
4000F 17 13 $0.00
1101F 35 31 $0.00
G0008 Administration of influenza virus vaccine 17 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 53 44 $0.00
1220F 26 25 $0.00
1111F 63 51 $0.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 62 59 $0.00
90716 35 25 $0.00
1034F 14 14 $0.00
4010F 32 28 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 16 14 $0.00
99024 12 12 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 28 28 $0.00
90619 18 15 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 33 30 $0.00