Clinic
Scenic Bluffs Health Center, INC.
Scenic Bluffs Health Center, INC. was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoSCENIC BLUFFS HEALTH CENTER, INC.
CASHTON, WI 54619
CASHTON, WI 54619
33aNPI1104890078assigned 02/15/2006
33bProvider typeDental Clinic/Center
28Total paid$1.19M
24GClaims27,790
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#23 of 51
Median peer was paid$1.07M
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 3,699 | $129K | |
| 2019 | 2,911 | $117K | |
| 2020 | 3,224 | $118K | |
| 2021 | 7,442 | $289K | |
| 2022 | 3,297 | $134K | |
| 2023 | 3,727 | $192K | |
| 2024incomplete | 3,490 | $209K |
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 | 75% | 6,752 | 4,814 | $893K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 9,121 | 7,094 | $167K |
| 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 | 4.6% | 2,142 | 1,588 | $55K |
| 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 | 2.1% | 1,060 | 840 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,235 | 1,025 | $18K |
| 0012A | <1% | 177 | 166 | $5K | |
| 98940 | <1% | 2,889 | 1,867 | $4K | |
| 0001A | <1% | 147 | 140 | $3K | |
| 99000 | <1% | 1,187 | 976 | $3K | |
| 91320 | <1% | 44 | 36 | $3K | |
| 0002A | <1% | 136 | 132 | $2K | |
| 0011A | <1% | 161 | 155 | $2K |
29 more codes
| 90686 | <1% | 313 | $2K | |
| 0071A | <1% | 92 | $2K | |
| 0072A | <1% | 80 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 12 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 58 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $815.77 |
| 0064A | <1% | 32 | $784.72 | |
| 0003A | <1% | 18 | $128.64 | |
| 36416 | <1% | 130 | $78.06 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 257 | $56.42 |
| 87400 | <1% | 18 | $52.29 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $39.63 |
| 36415 | Collection of venous blood by venipuncture | <1% | 265 | $33.82 |
| D1110 | Prophylaxis - adult | 0% | 193 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 77 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 106 | $0.00 |
| D0191 | 0% | 51 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 80 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 134 | $0.00 |
| 3008F | 0% | 18 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 276 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 49 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 103 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 133 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 19 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 95 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 66 | $0.00 |
| 91307 | 0% | 20 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 15 | $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 officialHAWTHORNE, KIMBERLY (CEO)