Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › WARSAW › KOSCIUSKO MEDICAL GROUP LLC

KOSCIUSKO MEDICAL GROUP LLC

NPI: 1932349594 · WARSAW, IN 46580 · Specialist · NPI assigned 02/23/2009

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

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

$8.81M
Total Medicaid Paid
190,605
Total Claims
157,308
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (SR DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date02/23/2009

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
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 22,306 $493K
2019 25,265 $901K
2020 23,939 $976K
2021 29,901 $1.55M
2022 32,279 $1.63M
2023 33,324 $1.80M
2024 23,591 $1.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 60,426 50,426 $3.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,976 48,473 $2.96M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,537 3,055 $295K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,776 2,550 $239K
59425 2,579 1,855 $182K
99232 Subsequent hospital care, per day, moderate complexity 6,542 2,311 $162K
59426 1,764 802 $147K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,809 1,613 $145K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,484 1,391 $127K
90472 Immunization administration, each additional vaccine (list separately) 4,655 4,038 $114K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,135 6,322 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,017 922 $48K
99215 Prolong outpt/office vis 387 333 $47K
99239 Hospital discharge day management, more than 30 minutes 802 680 $38K
36415 Collection of venous blood by venipuncture 12,381 10,778 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,066 2,917 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 824 699 $22K
95886 160 140 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 148 132 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 159 149 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 801 415 $14K
59025 Fetal non-stress test 380 146 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 119 105 $12K
96127 3,491 3,186 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 266 239 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 342 298 $11K
92552 675 637 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 775 625 $9K
99223 Prolong inpt eval add15 m 116 96 $9K
11721 795 666 $9K
99307 1,678 1,400 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,522 1,176 $6K
99238 Hospital discharge day management, 30 minutes or less 103 92 $6K
99222 Initial hospital care, per day, moderate complexity 103 84 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 139 122 $5K
90688 414 368 $4K
76830 Ultrasound, transvaginal 37 33 $3K
90473 232 224 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 53 40 $3K
99177 819 786 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 36 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 26 $2K
36416 617 567 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $2K
95816 49 44 $2K
93793 557 251 $2K
95909 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 69 68 $958.30
83655 75 73 $908.32
90686 2,094 1,913 $896.07
80061 Lipid panel 98 77 $857.75
99219 17 13 $814.10
99308 Subsequent nursing facility care, per day, straightforward 151 120 $601.94
85610 408 218 $595.39
71046 Radiologic examination, chest; 2 views 16 13 $399.43
92567 45 38 $386.42
99217 32 26 $318.04
90658 12 12 $233.76
90670 951 882 $216.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 111 86 $201.97
99173 74 63 $101.85
99000 35 27 $90.12
93000 15 12 $89.84
94664 13 13 $83.02
51798 12 12 $75.42
96160 23 22 $55.82
92551 16 15 $48.54
85018 16 15 $37.99
90633 226 208 $33.74
90656 110 107 $19.94
96161 16 16 $19.76
99231 Subsequent hospital care, per day, straightforward or low complexity 26 13 $7.84
2028F 223 185 $0.00
4035F 342 325 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 57 39 $0.00
90685 16 16 $0.00
90700 12 12 $0.00
90734 15 15 $0.00
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) 53 45 $0.00
90677 188 184 $0.00
90744 184 179 $0.00
90680 233 223 $0.00
90698 495 471 $0.00
1111F 196 173 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 54 38 $0.00
90619 13 13 $0.00
90651 12 12 $0.00
99024 34 27 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00