Gundersen Lutheran Medical Center INC
Gundersen Lutheran Medical Center INC was paid $201K by Medicaid between Jan 2018 and Nov 2021, across 29 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.
TOMAH, WI 54660
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 392 | $8K | |
| 2019 | 3,895 | $47K | |
| 2020 | 5,653 | $65K | |
| 2021 | 5,755 | $81K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 100% | 5,577 | 470 | $201K |
| 83970 | <1% | 136 | 128 | $142.17 | |
| 83550 | <1% | 189 | 175 | $20.06 | |
| 82040 | <1% | 397 | 385 | $17.04 | |
| 84100 | <1% | 497 | 385 | $16.35 | |
| 82728 | <1% | 188 | 175 | $15.65 | |
| 83540 | <1% | 189 | 175 | $14.86 | |
| 84460 | <1% | 397 | 385 | $12.18 | |
| 84075 | <1% | 393 | 385 | $11.88 | |
| 82310 | <1% | 516 | 385 | $11.84 | |
| 82565 | <1% | 391 | 385 | $11.76 | |
| 84520 | <1% | 858 | 385 | $9.08 |
17 more codes
| 85027 | <1% | 407 | $7.42 | |
| 85018 | <1% | 738 | $5.44 | |
| J1644 | Injection, heparin sodium, per 1000 units | 0% | 3,445 | $0.00 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 327 | $0.00 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 0% | 561 | $0.00 |
| 84295 | 0% | 15 | $0.00 | |
| 82374 | 0% | 12 | $0.00 | |
| 90662 | 0% | 14 | $0.00 | |
| 80051 | 0% | 159 | $0.00 | |
| 84132 | 0% | 76 | $0.00 | |
| 82435 | 0% | 12 | $0.00 | |
| 86706 | 0% | 42 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 27 | $0.00 |
| 87340 | 0% | 34 | $0.00 | |
| 86704 | 0% | 42 | $0.00 | |
| 86803 | 0% | 44 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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.
Who's on the registration
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.