Physician
Progressive Community Health Centers, INC.
Progressive Community Health Centers, INC. was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 33% of everything it billed.
33Billing provider infoPROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
33aNPI1023484961assigned 08/14/2015
33bProvider typeFamily Medicine Physician
28Total paid$1.90M
24GClaims82,884
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#13 of 359
Median peer was paid$4K
This provider vs. median488×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,494 | $379K | |
| 2019 | 10,843 | $362K | |
| 2020 | 7,265 | $213K | |
| 2021 | 7,521 | $210K | |
| 2022 | 12,675 | $230K | |
| 2023 | 19,345 | $216K | |
| 2024incomplete | 15,741 | $289K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 33% | 3,484 | 3,042 | $631K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 7,889 | 7,221 | $438K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 14,439 | 13,025 | $431K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.3% | 3,418 | 3,008 | $139K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.6% | 1,471 | 1,343 | $107K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.2% | 1,746 | 1,590 | $60K |
| 99000 | 1.4% | 9,627 | 8,811 | $27K | |
| 81025 | 1.2% | 3,503 | 3,162 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,145 | 1,059 | $11K |
| 87210 | <1% | 2,092 | 1,868 | $9K | |
| 81003 | <1% | 4,545 | 4,089 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 192 | 174 | $4K |
22 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,227 | $3K |
| 99441 | <1% | 321 | $3K | |
| 99201 | <1% | 100 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 101 | $2K |
| 81002 | <1% | 430 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 17 | $440.91 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $143.87 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 17 | $6.37 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 14 | $1.47 |
| 1160F | 0% | 3,786 | $0.00 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | 0% | 59 | $0.00 |
| 3078F | 0% | 5,248 | $0.00 | |
| 3077F | 0% | 1,159 | $0.00 | |
| 1159F | 0% | 3,812 | $0.00 | |
| 3074F | 0% | 6,365 | $0.00 | |
| 3080F | 0% | 1,087 | $0.00 | |
| 3079F | 0% | 2,063 | $0.00 | |
| 3075F | 0% | 740 | $0.00 | |
| 1125F | 0% | 1,524 | $0.00 | |
| 1126F | 0% | 938 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 236 | $0.00 |
| 3008F | 0% | 76 | $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.
From NPPES
Who's on the registration
Authorized officialCOLE, CANDICE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Progressive Community Health Centers, INC. | Milwaukee, WI | $7.74M |
| Progressive Community Health Centers, INC | Milwaukee, WI | $383K |
| Progressive Community Health Centers, INC. | Milwaukee, WI | $241K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.