Clinic
Lake Superior Community Health Center
Lake Superior Community Health Center was paid $4.16M by Medicaid between Feb 2022 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoLAKE SUPERIOR COMMUNITY HEALTH CENTER
SUPERIOR, WI 54880
SUPERIOR, WI 54880
33aNPI1063789022assigned 11/18/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.16M
24GClaims60,475
24DCodes billed44
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#11 of 46
Median peer was paid$590K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2022 | 17,149 | $1.10M | |
| 2023 | 27,200 | $1.80M | |
| 2024incomplete | 16,126 | $1.27M |
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 | 82% | 15,692 | 12,158 | $3.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 4,497 | 3,545 | $242K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.4% | 3,383 | 1,487 | $143K |
| 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 | 3.3% | 3,335 | 2,675 | $139K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 376 | 295 | $50K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 2,621 | 1,087 | $39K |
| 98940 | <1% | 2,016 | 806 | $26K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 849 | 750 | $23K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 86 | 47 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,553 | 2,293 | $13K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 134 | 67 | $10K |
| 80047 | <1% | 1,462 | 1,154 | $7K |
32 more codes
| 91322 | <1% | 86 | $7K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 258 | $7K |
| 90686 | <1% | 279 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,003 | $3K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 76 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,194 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 201 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 2,465 | $1K |
| 90480 | <1% | 110 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 360 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $969.87 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,099 | $760.22 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $497.50 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 613 | $388.99 |
| 0124A | <1% | 12 | $232.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,093 | $185.06 |
| 90756 | <1% | 18 | $118.58 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $115.86 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 285 | $58.66 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,109 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 2,188 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 2,680 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,526 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 587 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 63 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,908 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 683 | $0.00 |
| D5899 | 0% | 255 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 107 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 68 | $0.00 |
| 97014 | 0% | 26 | $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 officialHOMAN, LEE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Community Health Center | Duluth, MN | $13.75M |
| Lake Superior Community Health Center | Carlton, MN | $2.69M |
| Lake Superior Community Health Center | Duluth, MN | $1.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.