Clinic
Lac Du Flambeau Band of Lake Superior Chippewa Indians
Lac Du Flambeau Band of Lake Superior Chippewa Indians was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 47% of everything it billed.
33Billing provider infoLAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
LAC DU FLAMBEAU, WI 54538
LAC DU FLAMBEAU, WI 54538
33aNPI1134235047assigned 08/22/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$1.52M
24GClaims42,746
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Wisconsin
Rank by total paid#2 of 21
Median peer was paid$18K
This provider vs. median86×
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 | 9,380 | $311K | |
| 2019 | 7,564 | $261K | |
| 2020 | 4,965 | $195K | |
| 2021 | 6,531 | $254K | |
| 2022 | 5,937 | $235K | |
| 2023 | 5,584 | $181K | |
| 2024incomplete | 2,785 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 47% | 2,579 | 2,515 | $718K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 10,585 | 8,855 | $257K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.2% | 2,253 | 2,061 | $80K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 4.7% | 4,316 | 1,711 | $72K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.4% | 1,189 | 573 | $66K |
| 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 | 4.3% | 1,930 | 1,703 | $66K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.2% | 2,547 | 2,385 | $48K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.9% | 224 | 214 | $29K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 404 | 257 | $26K |
| 92015 | Determination of refractive state | 1.6% | 3,098 | 2,818 | $24K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 423 | 400 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 909 | 772 | $16K |
38 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 140 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 250 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 990 | $9K |
| 80050 | General health panel | <1% | 212 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 897 | $8K |
| 0012A | <1% | 223 | $7K | |
| 36416 | <1% | 2,321 | $5K | |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 84 | $4K |
| 99000 | <1% | 1,368 | $4K | |
| 0011A | <1% | 214 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 52 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 389 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 68 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 84 | $4K |
| 90686 | <1% | 279 | $3K | |
| 81001 | <1% | 689 | $2K | |
| 80061 | Lipid panel | <1% | 136 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 201 | $1K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 279 | $1K |
| 0071A | <1% | 41 | $1K | |
| 90688 | <1% | 96 | $901.20 | |
| 0001A | <1% | 17 | $648.72 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $621.24 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $587.52 |
| 0072A | <1% | 13 | $496.08 | |
| 0002A | <1% | 13 | $496.08 | |
| 87503 | <1% | 18 | $423.90 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,326 | $331.89 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $198.00 |
| 87430 | <1% | 17 | $195.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $175.43 |
| 82043 | <1% | 26 | $127.16 | |
| 85007 | <1% | 148 | $20.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 213 | $19.69 |
| 36415 | Collection of venous blood by venipuncture | 0% | 68 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 213 | $0.00 |
| 90461 | 0% | 60 | $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 officialSAMUELSON, RANDY (ADMINISTRATOR)
Parent organizationLAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS