NPI: 1972846087 · TOMAH, WI 54660 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/27/2013
Authorized official ADANK, KARI controls 16+ related entities in our dataset. Read more
| Authorized Official | ADANK, KARI (CCO) |
| Parent Organization | GUNDERSEN LUTHERAN MEDICAL CENTER INC |
| NPI Enumeration Date | 03/27/2013 |
Other providers sharing the same authorized official: ADANK, KARI
| Provider | City | State | Total 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 | WINONA | MN | $89K |
| GUNDERSEN REGIONAL CLINICS, LLC | DECORAH | IA | $70K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 392 | $8K |
| 2019 | 3,895 | $47K |
| 2020 | 5,653 | $65K |
| 2021 | 5,755 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 5,577 | 470 | $201K |
| 83970 | 136 | 128 | $142.17 | |
| 83550 | 189 | 175 | $20.06 | |
| 82040 | 397 | 385 | $17.04 | |
| 84100 | 497 | 385 | $16.35 | |
| 82728 | 188 | 175 | $15.65 | |
| 83540 | 189 | 175 | $14.86 | |
| 84460 | 397 | 385 | $12.18 | |
| 84075 | 393 | 385 | $11.88 | |
| 82310 | 516 | 385 | $11.84 | |
| 82565 | 391 | 385 | $11.76 | |
| 84520 | 858 | 385 | $9.08 | |
| 85027 | 407 | 393 | $7.42 | |
| 85018 | 738 | 405 | $5.44 | |
| J1644 | Injection, heparin sodium, per 1000 units | 3,445 | 311 | $0.00 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 327 | 109 | $0.00 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 561 | 174 | $0.00 |
| 84295 | 15 | 12 | $0.00 | |
| 82374 | 12 | 12 | $0.00 | |
| 90662 | 14 | 14 | $0.00 | |
| 80051 | 159 | 158 | $0.00 | |
| 84132 | 76 | 36 | $0.00 | |
| 82435 | 12 | 12 | $0.00 | |
| 86706 | 42 | 39 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 27 | 27 | $0.00 |
| 87340 | 34 | 27 | $0.00 | |
| 86704 | 42 | 39 | $0.00 | |
| 86803 | 44 | 39 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0.00 |