Clinic
Gundersen Regional Clinics, LLC
Gundersen Regional Clinics, LLC was paid $70K by Medicaid between Oct 2023 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGUNDERSEN REGIONAL CLINICS, LLC
DECORAH, IA 52101
DECORAH, IA 52101
33aNPI1699461558assigned 04/13/2023
33bProvider typeClinic/Center
28Total paid$70K
24GClaims3,835
24DCodes billed11
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Iowa
Rank by total paid#24 of 45
Median peer was paid$74K
This provider vs. median0.9×
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 ADANK, KARI controls 16+ 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 | |
|---|---|---|---|
| 2023 | 795 | $14K | |
| 2024incomplete | 3,040 | $56K |
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 | 36% | 936 | 879 | $25K |
| 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 | 33% | 708 | 631 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 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) | 9.7% | 1,201 | 1,079 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 309 | 290 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 28 | 27 | $727.47 |
| 90686 | <1% | 91 | 88 | $541.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 16 | $301.06 |
| 11721 | <1% | 25 | 24 | $268.22 | |
| 90656 | <1% | 31 | 31 | $144.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | 17 | $43.70 |
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 officialADANK, KARI (CCO)
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.