LAKE SUPERIOR COMMUNITY HEALTH CENTER
NPI: 1013556638
· DULUTH, MN 55807
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/30/2019
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | HOMAN, LEE (CEO) |
| NPI Enumeration Date | 12/30/2019 |
Related Entities
Other providers sharing the same authorized official: HOMAN, LEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,939 |
$102K |
| 2021 |
4,067 |
$453K |
| 2022 |
2,139 |
$296K |
| 2023 |
4,024 |
$386K |
| 2024 |
3,258 |
$359K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,136 |
1,759 |
$811K |
| 98940 |
|
4,209 |
1,455 |
$694K |
| T1015 |
Clinic visit/encounter, all-inclusive |
892 |
131 |
$92K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$504.58 |
| 97014 |
|
4,634 |
1,669 |
$18.12 |
| 97012 |
|
41 |
25 |
$0.00 |
| S9090 |
Vertebral axial decompression, per session |
1,093 |
463 |
$0.00 |
| 97035 |
|
408 |
138 |
$0.00 |