Physician
LA Porte Clinic Company LLC
LA Porte Clinic Company LLC was paid $18.77M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoLA PORTE CLINIC COMPANY LLC
VALPARAISO, IN 46383
VALPARAISO, IN 46383
33aNPI1568829224assigned 01/25/2016
33bProvider typeFamily Medicine Physician
28Total paid$18.77M
24GClaims536,312
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#1 of 408
Median peer was paid$81K
This provider vs. median232×
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 MUSIC, KRISTINA controls 20+ 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 | 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 | |
| 2024incomplete | 67,096 | $3.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 166,599 | 135,076 | $7.42M |
| 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 | 22% | 70,063 | 55,946 | $4.16M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 11,143 | 9,616 | $881K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 9,413 | 8,422 | $749K |
| 59425 | 3.8% | 9,137 | 6,663 | $720K | |
| 59426 | 3.0% | 7,032 | 3,323 | $554K | |
| 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 | 2.2% | 5,104 | 4,426 | $420K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 6,989 | 5,989 | $366K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 23,738 | 10,742 | $318K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 3,834 | 3,513 | $308K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 23,359 | 19,449 | $288K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 23,650 | 20,716 | $270K |
123 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 13,977 | $245K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 8,099 | $201K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 6,650 | $164K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 241 | $131K |
| 99381 | <1% | 1,593 | $129K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 34,203 | $123K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,664 | $120K |
| 31231 | <1% | 917 | $69K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 467 | $60K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,620 | $58K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 772 | $55K |
| 92557 | <1% | 2,784 | $50K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,405 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 622 | $48K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,086 | $45K |
| 90474 | <1% | 3,209 | $44K | |
| D1110 | Prophylaxis - adult | <1% | 1,258 | $35K |
| 92567 | <1% | 5,389 | $33K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 603 | $32K |
| D0330 | Panoramic radiographic image | <1% | 1,017 | $32K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 671 | $30K |
| 93000 | <1% | 4,765 | $26K | |
| 87807 | <1% | 2,853 | $26K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,786 | $26K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,289 | $26K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 493 | $25K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 840 | $25K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 553 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,477 | $20K |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 344 | $20K |
| 20610 | <1% | 824 | $19K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 837 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 775 | $18K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 613 | $17K |
| 99354 | <1% | 339 | $17K | |
| D0120 | Dental checkup, returning patient | <1% | 1,381 | $17K |
| 92579 | <1% | 515 | $15K | |
| 59025 | Fetal non-stress test | <1% | 446 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 733 | $14K |
| 81002 | <1% | 6,956 | $14K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 865 | $14K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 133 | $13K |
| 59430 | <1% | 186 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 166 | $10K |
| 58661 | <1% | 15 | $9K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 181 | $9K |
| D1120 | Dental cleaning, child | <1% | 644 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 840 | $9K |
| 81025 | <1% | 1,715 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 249 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 248 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 130 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,073 | $5K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 50 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 129 | $4K |
| 90715 | <1% | 383 | $4K | |
| 90686 | <1% | 3,875 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 511 | $4K |
| 93018 | <1% | 743 | $4K | |
| 90682 | <1% | 109 | $3K | |
| 90670 | <1% | 5,742 | $3K | |
| 82962 | <1% | 2,403 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,237 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | $3K |
| 93458 | <1% | 17 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 45 | $2K |
| 81003 | <1% | 1,139 | $2K | |
| 99442 | <1% | 211 | $2K | |
| 99152 | <1% | 228 | $2K | |
| 90698 | <1% | 7,112 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 258 | $1K |
| 94060 | <1% | 248 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| 94727 | <1% | 207 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| 43235 | <1% | 23 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 100 | $943.10 |
| 99307 | <1% | 626 | $941.39 | |
| 43193 | <1% | 17 | $924.51 | |
| 94729 | <1% | 181 | $882.53 | |
| 97597 | <1% | 47 | $862.48 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 255 | $747.00 |
| 99441 | <1% | 79 | $665.62 | |
| 99221 | <1% | 19 | $595.60 | |
| 90680 | <1% | 4,695 | $582.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 123 | $447.85 |
| 90744 | <1% | 2,720 | $427.42 | |
| 90688 | <1% | 20 | $323.65 | |
| 73564 | <1% | 38 | $307.65 | |
| 90633 | <1% | 2,737 | $306.88 | |
| D0272 | Bitewings - two radiographic images | <1% | 22 | $272.91 |
| 90651 | <1% | 152 | $267.47 | |
| 90710 | <1% | 150 | $256.92 | |
| 90671 | <1% | 1,918 | $226.10 | |
| 83986 | <1% | 115 | $213.14 | |
| 94726 | <1% | 31 | $171.31 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $160.46 |
| 99406 | <1% | 55 | $124.23 | |
| 90685 | <1% | 256 | $82.86 | |
| 90746 | <1% | 99 | $73.80 | |
| 90662 | <1% | 15 | $55.51 | |
| 82044 | <1% | 15 | $50.22 | |
| 90696 | <1% | 406 | $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 | <1% | 57 | $14.10 |
| 36416 | <1% | 80 | $3.09 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 47 | $0.13 |
| 99024 | 0% | 3,465 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 141 | $0.00 |
| 90656 | 0% | 48 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 90716 | 0% | 233 | $0.00 | |
| 93227 | 0% | 13 | $0.00 | |
| 90697 | 0% | 196 | $0.00 | |
| 90619 | 0% | 102 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 24 | $0.00 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 3,017 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 65 | $0.00 |
| 90734 | 0% | 201 | $0.00 | |
| 90707 | 0% | 280 | $0.00 | |
| 99173 | 0% | 50 | $0.00 | |
| 90700 | 0% | 13 | $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 officialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.