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.
FORT WAYNE, IN 46804
Next to other Internal Medicine Physician providers in Indiana
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 52,219 | $2.73M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.