Medicaid Provider Spending

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

DUKES PHYSICIAN SERVICES LLC

NPI: 1255396883 · PERU, IN 46970 · Orthopaedic Surgery Physician · NPI assigned 04/18/2006

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

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

$3.72M
Total Medicaid Paid
79,971
Total Claims
61,900
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR/PROVIDER ENROLLMENT)
NPI Enumeration Date04/18/2006

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
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
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 11,099 $374K
2019 13,077 $407K
2020 10,869 $418K
2021 10,959 $603K
2022 12,141 $659K
2023 13,941 $756K
2024 7,885 $503K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,590 29,468 $1.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,961 7,761 $615K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,494 3,069 $281K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,110 1,946 $184K
59426 1,894 843 $117K
59425 1,605 1,115 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,587 2,103 $67K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 529 478 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 961 850 $46K
99233 Prolong inpt eval add15 m 1,238 445 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 346 327 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 335 305 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,218 1,743 $28K
99223 Prolong inpt eval add15 m 432 338 $27K
99307 919 869 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 869 738 $23K
99215 Prolong outpt/office vis 224 192 $21K
99239 Hospital discharge day management, more than 30 minutes 601 468 $19K
76830 Ultrasound, transvaginal 240 221 $19K
99308 Subsequent nursing facility care, per day, straightforward 428 398 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,001 419 $14K
93793 3,781 2,001 $12K
11721 587 518 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 84 63 $8K
93000 965 769 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 57 51 $4K
85610 3,683 1,960 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 902 615 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 68 52 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 25 $3K
99236 Prolong inpt eval add15 m 12 12 $1K
93307 60 53 $1K
92567 212 151 $1K
81025 146 123 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 104 99 $945.25
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 19 14 $814.59
99406 191 162 $785.93
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 91 67 $779.52
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 12 $502.14
11056 17 15 $463.28
87428 15 12 $381.19
36415 Collection of venous blood by venipuncture 113 89 $187.47
93018 13 12 $93.78
96127 13 13 $51.82
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 48 43 $0.00
99024 64 41 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 70 65 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 13 13 $0.00
1101F 55 50 $0.00
1022F 15 15 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 38 35 $0.00
0500F 12 12 $0.00
1030F 13 13 $0.00
0502F 883 629 $0.00