Medicaid Provider Spending

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

GUNDERSEN REGIONAL CLINICS, LLC

NPI: 1699461558 · DECORAH, IA 52101 · Clinic/Center · NPI assigned 04/13/2023

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

Authorized official ADANK, KARI controls 16+ related entities in our dataset. Read more

$70K
Total Medicaid Paid
3,835
Total Claims
3,497
Beneficiaries
11
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADANK, KARI (CCO)
NPI Enumeration Date04/13/2023

Related Entities

Other providers sharing the same authorized official: ADANK, KARI

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 795 $14K
2024 3,040 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 936 879 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 708 631 $23K
99215 Prolong outpt/office vis 470 415 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,201 1,079 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 309 290 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 28 27 $727.47
90686 91 88 $541.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 16 $301.06
11721 25 24 $268.22
90656 31 31 $144.98
36415 Collection of venous blood by venipuncture 18 17 $43.70