Gundersen Lutheran Medical Center, INC
Gundersen Lutheran Medical Center, INC was paid $28K by Medicaid between Jan 2022 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
LA CROSSE, WI 54601
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin
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 | |
|---|---|---|---|
| 2022 | 692 | $27K | |
| 2023 | 49 | $304.30 | |
| 2024incomplete | 57 | $273.56 |
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% | 247 | 177 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 26% | 87 | 57 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 169 | 99 | $5K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.4% | 37 | 19 | $963.68 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 152 | 125 | $887.17 |
| 71046 | Radiologic examination, chest; 2 views | 1.8% | 72 | 69 | $491.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 21 | 12 | $426.74 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 13 | 12 | $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
| 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 Lutheran Medical Center INC | Onalaska, WI | $1.63M |
| 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 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.