Clinic
Gundersen Lutheran Medical Center INC
Gundersen Lutheran Medical Center INC was paid $1.63M by Medicaid between Jan 2018 and Oct 2024, across 35 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 96% of everything it billed.
33Billing provider infoGUNDERSEN LUTHERAN MEDICAL CENTER INC
ONALASKA, WI 54650
ONALASKA, WI 54650
33aNPI1215270327assigned 03/27/2013
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$1.63M
24GClaims144,541
24DCodes billed35
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Wisconsin
Rank by total paid#36 of 120
Median peer was paid$662K
This provider vs. median2.5×
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 ADANK, KARI controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,127 | $278K | |
| 2019 | 22,449 | $212K | |
| 2020 | 22,407 | $236K | |
| 2021 | 21,565 | $255K | |
| 2022 | 20,304 | $272K | |
| 2023 | 21,150 | $258K | |
| 2024incomplete | 13,539 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 96% | 38,200 | 3,095 | $1.57M |
| J0606 | Injection, etelcalcetide, 0.1 mg | 2.6% | 7,520 | 561 | $43K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | <1% | 8,670 | 2,352 | $14K |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | <1% | 2,949 | 310 | $4K |
| 80051 | <1% | 1,510 | 1,446 | $1.40 | |
| 82310 | <1% | 3,859 | 2,890 | $1.03 | |
| 82565 | <1% | 3,097 | 2,889 | $1.02 | |
| 84520 | <1% | 6,540 | 2,960 | $0.79 | |
| 85018 | 0% | 5,848 | 2,869 | $0.00 | |
| 87340 | 0% | 1,173 | 1,115 | $0.00 | |
| 85027 | 0% | 3,332 | 2,921 | $0.00 | |
| 82728 | 0% | 1,773 | 1,693 | $0.00 |
23 more codes
| 86704 | 0% | 438 | $0.00 | |
| 82040 | 0% | 3,097 | $0.00 | |
| 84132 | 0% | 4,687 | $0.00 | |
| 83550 | 0% | 1,775 | $0.00 | |
| 82435 | 0% | 1,134 | $0.00 | |
| 86803 | 0% | 509 | $0.00 | |
| 86706 | 0% | 440 | $0.00 | |
| 84075 | 0% | 3,079 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 103 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 251 | $0.00 |
| 84460 | 0% | 3,213 | $0.00 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 6,372 | $0.00 |
| 83540 | 0% | 1,775 | $0.00 | |
| 82374 | 0% | 1,147 | $0.00 | |
| 83970 | 0% | 1,086 | $0.00 | |
| 90662 | 0% | 144 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 25,750 | $0.00 |
| 84100 | 0% | 3,782 | $0.00 | |
| 84295 | 0% | 1,146 | $0.00 | |
| 85610 | 0% | 38 | $0.00 | |
| 90682 | 0% | 18 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 61 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 25 | $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 officialADANK, KARI (CCO)
Parent organizationGUNDERSEN LUTHERAN MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Gundersen Lutheran Medical Center INC | La Crosse, WI | $74.27M |
| Gundersen Clinic LTD | La Crosse, WI | $10.13M |
| Gundersen Lutheran Medical Center, INC. | La Crosse, WI | $1.96M |
| Gundersen Clinic, LTD. | Lansing, IA | $379K |
| Gundersen Lutheran Medical Center INC | Viroqua, WI | $375K |
| Gundersen Lutheran Medical Center INC | Tomah, WI | $201K |
| Gundersen Lutheran Medical Center INC | Winona, MN | $89K |
| Gundersen Regional Clinics, LLC | Decorah, IA | $70K |
| Gundersen Lutheran Medical Center, INC | La Crosse, WI | $28K |
| Gundersen Clinic LTD | Spring Grove, MN | $2K |
| Gundersen Lutheran Medical Center, INC | Onalaska, WI | $2K |
| Gundersen Clinic, LTD. | Houston, MN | $977.31 |
| Gundersen Lutheran Medical Center, INC | La Crosse, WI | $827.41 |
| Gundersen Clinic LTD | Harmony, MN | $11.17 |
| Gundersen Lutheran Medical Center, INC. | La Crosse, WI | $0.00 |
| Gundersen Clinic, LTD. | Independence, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.