Kosciusko Medical Group LLC
Kosciusko Medical Group LLC was paid $8.81M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoKOSCIUSKO MEDICAL GROUP LLC
WARSAW, IN 46580
WARSAW, IN 46580
33aNPI1932349594assigned 02/23/2009
33bProvider typeSpecialist
28Total paid$8.81M
24GClaims190,605
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#4 of 90
Median peer was paid$98K
This provider vs. median90×
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 | 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 | |
| 2024incomplete | 23,591 | $1.47M |
Box 24 · Service lines
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 | 44% | 60,426 | 50,426 | $3.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 57,976 | 48,473 | $2.96M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 3,537 | 3,055 | $295K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 2,776 | 2,550 | $239K |
| 59425 | 2.1% | 2,579 | 1,855 | $182K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 6,542 | 2,311 | $162K |
| 59426 | 1.7% | 1,764 | 802 | $147K | |
| 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 | 1.6% | 1,809 | 1,613 | $145K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 1,484 | 1,391 | $127K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 4,655 | 4,038 | $114K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,135 | 6,322 | $83K |
| 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% | 1,017 | 922 | $48K |
77 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 387 | $47K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 802 | $38K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,381 | $35K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,066 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 824 | $22K |
| 95886 | <1% | 160 | $16K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 148 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 159 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 801 | $14K |
| 59025 | Fetal non-stress test | <1% | 380 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 119 | $12K |
| 96127 | <1% | 3,491 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 266 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 342 | $11K |
| 92552 | <1% | 675 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 775 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 116 | $9K |
| 11721 | <1% | 795 | $9K | |
| 99307 | <1% | 1,678 | $8K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,522 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 103 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 103 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 139 | $5K |
| 90688 | <1% | 414 | $4K | |
| 76830 | Ultrasound, transvaginal | <1% | 37 | $3K |
| 90473 | <1% | 232 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 53 | $3K |
| 99177 | <1% | 819 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 27 | $2K |
| 36416 | <1% | 617 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $2K |
| 95816 | <1% | 49 | $2K | |
| 93793 | <1% | 557 | $2K | |
| 95909 | <1% | 12 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 69 | $958.30 |
| 83655 | <1% | 75 | $908.32 | |
| 90686 | <1% | 2,094 | $896.07 | |
| 80061 | Lipid panel | <1% | 98 | $857.75 |
| 99219 | <1% | 17 | $814.10 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 151 | $601.94 |
| 85610 | <1% | 408 | $595.39 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $399.43 |
| 92567 | <1% | 45 | $386.42 | |
| 99217 | <1% | 32 | $318.04 | |
| 90658 | <1% | 12 | $233.76 | |
| 90670 | <1% | 951 | $216.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 111 | $201.97 |
| 99173 | <1% | 74 | $101.85 | |
| 99000 | <1% | 35 | $90.12 | |
| 93000 | <1% | 15 | $89.84 | |
| 94664 | <1% | 13 | $83.02 | |
| 51798 | <1% | 12 | $75.42 | |
| 96160 | <1% | 23 | $55.82 | |
| 92551 | <1% | 16 | $48.54 | |
| 85018 | <1% | 16 | $37.99 | |
| 90633 | <1% | 226 | $33.74 | |
| 90656 | <1% | 110 | $19.94 | |
| 96161 | <1% | 16 | $19.76 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $7.84 |
| 2028F | 0% | 223 | $0.00 | |
| 4035F | 0% | 342 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 57 | $0.00 |
| 90685 | 0% | 16 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90734 | 0% | 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) | 0% | 53 | $0.00 |
| 90677 | 0% | 188 | $0.00 | |
| 90744 | 0% | 184 | $0.00 | |
| 90680 | 0% | 233 | $0.00 | |
| 90698 | 0% | 495 | $0.00 | |
| 1111F | 0% | 196 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 54 | $0.00 |
| 90619 | 0% | 13 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 99024 | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $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 (SR DIRECTOR PROVIDER ENROLLMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.