Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › VALPARAISO › LA PORTE CLINIC COMPANY LLC

LA PORTE CLINIC COMPANY LLC

NPI: 1568829224 · VALPARAISO, IN 46383 · Family Medicine Physician · NPI assigned 01/25/2016

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

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

$18.77M
Total Medicaid Paid
536,312
Total Claims
417,989
Beneficiaries
135
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date01/25/2016

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
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 73,840 $1.26M
2019 82,666 $2.43M
2020 59,212 $1.86M
2021 73,492 $2.88M
2022 89,698 $3.54M
2023 90,308 $3.63M
2024 67,096 $3.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166,599 135,076 $7.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,063 55,946 $4.16M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,143 9,616 $881K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,413 8,422 $749K
59425 9,137 6,663 $720K
59426 7,032 3,323 $554K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,104 4,426 $420K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,989 5,989 $366K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23,738 10,742 $318K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,834 3,513 $308K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,359 19,449 $288K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 23,650 20,716 $270K
90472 Immunization administration, each additional vaccine (list separately) 13,977 10,698 $245K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,099 5,858 $201K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,650 5,112 $164K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 241 220 $131K
99381 1,593 1,449 $129K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 34,203 24,102 $123K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,664 1,321 $120K
31231 917 831 $69K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 467 385 $60K
99232 Subsequent hospital care, per day, moderate complexity 2,620 719 $58K
99215 Prolong outpt/office vis 772 476 $55K
92557 2,784 2,371 $50K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,405 1,156 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 622 581 $48K
99233 Prolong inpt eval add15 m 1,086 296 $45K
90474 3,209 2,759 $44K
D1110 Prophylaxis - adult 1,258 1,009 $35K
92567 5,389 4,690 $33K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 603 486 $32K
D0330 Panoramic radiographic image 1,017 789 $32K
99222 Initial hospital care, per day, moderate complexity 671 473 $30K
93000 4,765 3,608 $26K
87807 2,853 2,639 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,786 2,004 $26K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,289 397 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 493 449 $25K
90832 Psychotherapy, 30 minutes with patient 840 459 $25K
90834 Psychotherapy, 45 minutes with patient 553 297 $23K
83036 Hemoglobin; glycosylated (A1C) 5,477 4,177 $20K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 344 321 $20K
20610 824 489 $19K
D0150 Comprehensive oral evaluation - new or established patient 837 645 $19K
D0140 Limited oral evaluation - problem focused 775 589 $18K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 613 468 $17K
99354 339 281 $17K
D0120 Periodic oral evaluation - established patient 1,381 1,117 $17K
92579 515 490 $15K
59025 Fetal non-stress test 446 203 $15K
D0274 Bitewings - four radiographic images 733 589 $14K
81002 6,956 5,003 $14K
D0210 Intraoral - complete series of radiographic images 865 501 $14K
45380 Colonoscopy, flexible; with biopsy, single or multiple 133 116 $13K
59430 186 154 $11K
99238 Hospital discharge day management, 30 minutes or less 166 147 $10K
58661 15 12 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 181 112 $9K
D1120 Prophylaxis - child 644 506 $9K
D1206 Topical application of fluoride varnish 840 665 $9K
81025 1,715 1,214 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 249 159 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 248 239 $6K
90791 Psychiatric diagnostic evaluation 130 112 $6K
99308 Subsequent nursing facility care, per day, straightforward 1,073 680 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 50 37 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 129 84 $4K
90715 383 322 $4K
90686 3,875 2,959 $4K
D0220 Intraoral - periapical first radiographic image 511 411 $4K
93018 743 594 $4K
90682 109 81 $3K
90670 5,742 4,963 $3K
82962 2,403 1,656 $3K
36415 Collection of venous blood by venipuncture 1,237 990 $3K
99223 Prolong inpt eval add15 m 39 25 $3K
93458 17 14 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 45 37 $2K
81003 1,139 1,018 $2K
99442 211 132 $2K
99152 228 156 $2K
90698 7,112 6,245 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 258 197 $1K
94060 248 199 $1K
99205 Prolong outpt/office vis 14 13 $1K
94727 207 165 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 15 13 $1K
43235 23 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 100 78 $943.10
99307 626 369 $941.39
43193 17 14 $924.51
94729 181 153 $882.53
97597 47 31 $862.48
D0230 Intraoral - periapical each additional radiographic image 255 37 $747.00
99441 79 42 $665.62
99221 19 13 $595.60
90680 4,695 4,113 $582.53
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 123 63 $447.85
90744 2,720 2,410 $427.42
90688 20 20 $323.65
73564 38 24 $307.65
90633 2,737 2,372 $306.88
D0272 Bitewings - two radiographic images 22 12 $272.91
90651 152 120 $267.47
90710 150 139 $256.92
90671 1,918 1,796 $226.10
83986 115 83 $213.14
94726 31 27 $171.31
71046 Radiologic examination, chest; 2 views 26 15 $160.46
99406 55 43 $124.23
90685 256 197 $82.86
90746 99 85 $73.80
90662 15 12 $55.51
82044 15 13 $50.22
90696 406 377 $29.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 57 51 $14.10
36416 80 50 $3.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 47 12 $0.13
99024 3,465 2,689 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 27 24 $0.00
G0008 Administration of influenza virus vaccine 141 99 $0.00
90656 48 46 $0.00
99385 12 12 $0.00
90716 233 165 $0.00
93227 13 13 $0.00
90697 196 184 $0.00
90619 102 95 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 24 13 $0.00
T1015 Clinic visit/encounter, all-inclusive 3,017 2,552 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 14 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 65 64 $0.00
90734 201 156 $0.00
90707 280 204 $0.00
99173 50 49 $0.00
90700 13 13 $0.00