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    OpenPayerNPI Medicare & MedicaidGundersen Clinic Ltd
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    Gundersen Clinic Ltd — Billing Profile & Reimbursement Data

    NPI 1851343115 · La Crosse, WI · Clinic/Center

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    Gundersen Clinic Ltd is a clinic/center provider located in La Crosse, Wisconsin. This profile covers 0 Medicare and 136 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGundersen Clinic Ltd
    Address1836 South Ave
    CityLa Crosse
    StateWI
    ZIP54601
    TaxonomyClinic/Center
    NPI EnumeratedMay 16, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    136 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…55,780$40$2.3M
    99213The 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…52,980$30$1.6M
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…27,360$40$1M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…15,020$40$585.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)14,570$40$583K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal22,900$20$435K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.45,230$10$407.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.9,630$40$365.9K
    D2930N/A1,550$170$259K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…7,120$30$213.6K

    Showing 1–10 of 136

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    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    136 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive57604,880$230$4.9M
    D8670N/A47802,010$110$635.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.2243601,550$70$614.4K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.142430760$60$484.6K
    D2930N/A2680410$150$427.7K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.1683301,350$60$338K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…25301,050$70$320.9K
    99214The 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…271,630270$40$205.3K
    D7240N/A920130$220$203.5K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.4240640$50$178.5K

    Showing 1–10 of 136

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gundersen Clinic Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gundersen Lutheran Medical Center IncWIGeneral Acute Care Hospital$0$74.3M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Moundview Memorial Hospital & Clinics, IncWICritical Access Hospital$0$8.9M
    Palmer Lutheran Health Center, IncIARural Health Clinic/Center$0$6M
    Memorial Hospital Of BoscobelWICritical Access Hospital$0$5.4M
    Tri-county Memorial Hospital, Inc.WICritical Access Hospital$0$4.1M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Palmer Lutheran Health Center, Inc.IARural Health Clinic/Center$0$3.5M
    Gundersen Lutheran Medical Center, Inc.WIAir Ambulance$0$2M

    Nearby Providers

    Other providers in the same ZIP code as Gundersen Clinic Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of La CrosseWICommunity/Behavioral Health Agency$0$85M
    Mayo Clinic Health System-southwest Wisconsin Region, Inc.WIGeneral Acute Care Hospital$0$13.4M
    Mayo Clinic Health System-southwest Wisconsin Region, Inc.WIMulti-Specialty Clinic/Center$0$8.8M
    Riverfront Activities Center IncWIDevelopmentally Disabled Services Day Training Agency$0$7.2M
    La Crosse County Human ServicesWICommunity/Behavioral Health Agency$0$3.3M
    School District Of La CrosseWILocal Education Agency (LEA)$0$2.8M
    Chileda Institute, IncWIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.9M
    Driftless Recovery Services, Inc.WIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.4M
    Paula GillWIHematology & Oncology Physician$997.3K$0
    Cindy CalderonWIOphthalmology Physician$897.7K$4.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Gundersen Clinic Ltd — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin