Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lutheran Medical Group LLC (NPI 1164662805)

Lutheran Medical Group LLC is a cardiovascular disease physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 195 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lutheran Medical Group LLC
Address	7916 W Jefferson Blvd
City	Fort Wayne
State	IN
ZIP	46804
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	February 20, 2009

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

195 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	152,540	$60	$9.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	105,740	$50	$5.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	22,240	$40	$912K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	24,260	$30	$630.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16,560	$30	$513.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,970	$80	$477.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,340	$80	$475.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,040	$80	$413K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,930	$80	$408.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	5,010	$80	$395.6K

Showing 1–10 of 195

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Lutheran Medical Group LLC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

195 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	132	130	3,770	$60	$617.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12	2,120	870	$60	$450.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	24	2,380	920	$50	$376.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	13	20	730	$130	$348.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	130	160	1,390	$70	$294.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	41	280	880	$80	$267.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	116	190	1,680	$70	$264.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	42	290	770	$80	$250.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	5	130	360	$280	$234.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	33	530	740	$30	$210K

Showing 1–10 of 195

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Steven Ko	IN	Rheumatology Physician	$1.2M	$0
Karen Ringwald	IN	Rheumatology Physician	$1.1M	$0
Anil Rao	IN	Rheumatology Physician	$812.9K	$0
Monica Reddy	IN	Rheumatology Physician	$764.6K	$0
Cheng Du	IN	Neurology Physician	$243.6K	$0
Brian Orr	IN	Urology Physician	$213.8K	$0
Thomas Lazoff	IN	Physical Medicine & Rehabilitation Physician	$181.9K	$0
Preetham Jetty	IN	Cardiovascular Disease Physician	$172.8K	$0
Fouad Kutuby	IN	Critical Care Medicine (Internal Medicine) Physician	$148.3K	$18.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iom Health System LP	IN	General Acute Care Hospital	$0	$27.4M
Community Hca, Inc.	IN	Home Health Agency	$0	$19.4M
Booth & Company, Inc.	IN	Clinical Psychologist	$0	$16.5M
Emergency Professionals Of Indiana, P.C.	IN	Emergency Medicine Physician	$0	$15.3M
Summit Radiology P C	IN	Diagnostic Radiology Physician	$0	$11.6M
Racc Medical Associates LLC	IN	Physical Medicine & Rehabilitation Physician	$0	$11.3M
Jefferson Park Pediatrics P C	IN	Pediatrics Physician	$0	$9.1M
Emergency Medicine Of Indiana LLC	IN	Emergency Medicine Physician	$0	$6.5M
Allergy & Asthma Center, PC	IN	Allergy & Immunology Physician	$0	$4.7M
Inphynet Primary Care Physicians Midwest, S.c.	IN	Physician Assistant	$0	$4.3M

Lutheran Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Lutheran Medical Group LLC — Billing Profile & Reimbursement Data policy alerts

Lutheran Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Lutheran Medical Group LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References