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LUTHERAN MEDICAL GROUP LLC

Internal Medicine, Cardiovascular Disease·FORT WAYNE, IN·NPI: 1164662805Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$21,973,254

Total Claims

567K

Beneficiaries

437K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+86%
2019
$3.2M
-11%
2020
$2.8M
+44%
2021
$4.0M
-0%
2022
$4.0M
-13%
2023
$3.5M
-22%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 45% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$9.8M

153K claims · 44.7%

Your Cost: $64.40/claim|Median: $53.41
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$5.1M

106K claims · 23.0%

Your Cost: $47.87/claim|Median: $37.81
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$918K

22K claims · 4.2%

Your Cost: $41.27/claim|Median: $35.30
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$625K

24K claims · 2.8%

Your Cost: $25.75/claim|Median: $23.99
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$512K

17K claims · 2.3%

Your Cost: $30.91/claim|Median: $54.68
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$478K

5,973 claims · 2.2%

Your Cost: $80.02/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$473K

6,342 claims · 2.2%

Your Cost: $74.58/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$411K

5,036 claims · 1.9%

Your Cost: $81.58/claim|Median: $74.82
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$410K

4,925 claims · 1.9%

Your Cost: $83.15/claim|Median: $74.09
1.1× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$393K

5,007 claims · 1.8%

Your Cost: $78.51/claim|Median: $84.03
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$275K

3,361 claims · 1.3%

Your Cost: $81.87/claim|Median: $80.15
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$268K

3,742 claims · 1.2%

Your Cost: $71.56/claim|Median: $151.68
0.5× median
99291Normal range

Critical care, first 30-74 minutes

$240K

2,611 claims · 1.1%

Your Cost: $91.93/claim|Median: $101.24
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$184K

3,833 claims · 0.8%

Your Cost: $48.08/claim|Median: $51.25
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$143K

36K claims · 0.7%

Your Cost: $4.01/claim|Median: $5.60
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$134K

2,007 claims · 0.6%

Your Cost: $66.97/claim|Median: $67.32
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$125K

4,131 claims · 0.6%

Your Cost: $30.28/claim|Median: $25.06
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$120K

1,201 claims · 0.5%

Your Cost: $99.85/claim|Median: $111.09
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$118K

9,074 claims · 0.5%

Your Cost: $13.04/claim|Median: $11.79
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$110K

14K claims · 0.5%

Your Cost: $8.04/claim|Median: $9.80
0.8× median
G2066Top 5%

$82K

830 claims · 0.4%

Your Cost: $99.10/claim|Median: $14.66
6.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$66K

5,294 claims · 0.3%

Your Cost: $12.55/claim|Median: $9.79
1.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$59K

423 claims · 0.3%

Your Cost: $140.36/claim|Median: $255.17
0.6× median
45380Normal range

Colonoscopy with biopsy

$55K

429 claims · 0.3%

Your Cost: $128.75/claim|Median: $200.68
0.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$54K

1,623 claims · 0.2%

Your Cost: $33.06/claim|Median: $57.85
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$47K

1,817 claims · 0.2%

Your Cost: $25.84/claim|Median: $37.22
0.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$45K

8,874 claims · 0.2%

Your Cost: $5.08/claim|Median: $5.50
0.9× median
59425Normal range

Antepartum care only, 4-6 visits

$41K

806 claims · 0.2%

Your Cost: $51.43/claim|Median: $63.63
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$41K

758 claims · 0.2%

Your Cost: $53.87/claim|Median: $72.71
0.7× median
93793Normal range

$40K

9,473 claims · 0.2%

Your Cost: $4.22/claim|Median: $4.09
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$37K

17K claims · 0.2%

Your Cost: $2.19/claim|Median: $1.57
1.4× median
95251Normal range

$33K

2,059 claims · 0.2%

Your Cost: $16.26/claim|Median: $18.02
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$27K

925 claims · 0.1%

Your Cost: $28.97/claim|Median: $30.04
1.0× median
80061Normal range

Lipid panel

$26K

5,016 claims · 0.1%

Your Cost: $5.20/claim|Median: $8.41
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$25K

648 claims · 0.1%

Your Cost: $38.63/claim|Median: $76.06
0.5× median
99231Normal range

Subsequent hospital care, per day, low complexity

$22K

2,459 claims · 0.1%

Your Cost: $8.95/claim|Median: $16.77
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$22K

395 claims · 0.1%

Your Cost: $55.55/claim|Median: $62.48
0.9× median
80053Normal range

Comprehensive metabolic panel

$19K

4,153 claims · 0.1%

Your Cost: $4.59/claim|Median: $7.24
0.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$19K

702 claims · 0.1%

Your Cost: $26.59/claim|Median: $106.14
0.3× median
93295Normal range

$18K

928 claims · 0.1%

Your Cost: $19.74/claim|Median: $21.14
0.9× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$18K

2,423 claims · 0.1%

Your Cost: $7.48/claim|Median: $10.24
0.7× median
94726Normal range

$17K

1,546 claims · 0.1%

Your Cost: $10.99/claim|Median: $13.41
0.8× median
95806Normal range

$16K

503 claims · 0.1%

Your Cost: $32.02/claim|Median: $64.51
0.5× median
94729Normal range

$16K

1,577 claims · 0.1%

Your Cost: $10.19/claim|Median: $12.24
0.8× median
87804Normal range

Influenza virus detection, rapid test

$15K

1,061 claims · 0.1%

Your Cost: $14.07/claim|Median: $12.59
1.1× median
85610Normal range

Prothrombin time (PT) blood clotting test

$15K

7,570 claims · 0.1%

Your Cost: $1.97/claim|Median: $2.14
0.9× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$14K

160 claims · 0.1%

Your Cost: $88.70/claim|Median: $81.92
1.1× median
99305Normal range

$14K

705 claims · 0.1%

Your Cost: $19.31/claim|Median: $19.28
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$13K

2,122 claims · 0.1%

Your Cost: $6.17/claim|Median: $9.87
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$12K

3,305 claims · 0.1%

Your Cost: $3.59/claim|Median: $4.71
0.8× median

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