Clinic
Lakeshore Community Health Care, INC
Lakeshore Community Health Care, INC was paid $14.74M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoLAKESHORE COMMUNITY HEALTH CARE, INC
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
33aNPI1144698549assigned 09/02/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.74M
24GClaims225,899
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#4 of 46
Median peer was paid$590K
This provider vs. median25×
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 | 48,746 | $2.86M | |
| 2019 | 53,597 | $3.92M | |
| 2020 | 34,582 | $2.49M | |
| 2021 | 47,853 | $3.55M | |
| 2022 | 26,737 | $1.50M | |
| 2023 | 7,728 | $207K | |
| 2024incomplete | 6,656 | $208K |
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 | 94% | 56,588 | 45,420 | $13.83M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 10,048 | 5,834 | $203K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 7,027 | 3,733 | $175K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,734 | 5,514 | $133K |
| 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 | <1% | 3,185 | 2,655 | $112K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,705 | 4,351 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,426 | 1,212 | $24K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,111 | 3,936 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,715 | 2,845 | $20K |
| 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% | 890 | 731 | $20K |
| D1206 | Topical application of fluoride varnish | <1% | 17,056 | 16,378 | $19K |
| D1110 | Prophylaxis - adult | <1% | 8,791 | 8,470 | $18K |
43 more codes
| D1120 | Dental cleaning, child | <1% | 7,111 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,172 | $14K |
| D0120 | Dental checkup, returning patient | <1% | 10,405 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 6,713 | $11K |
| D1351 | Sealant - per tooth | <1% | 6,354 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 7,898 | $9K |
| 99000 | <1% | 3,033 | $8K | |
| D0191 | <1% | 6,384 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15,448 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 634 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 17,963 | $4K |
| 98940 | <1% | 4,626 | $3K | |
| 91322 | <1% | 56 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 158 | $2K |
| 90688 | <1% | 226 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 38 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 1,601 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 46 | $2K |
| D0330 | Panoramic radiographic image | <1% | 484 | $1K |
| 90686 | <1% | 121 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 15 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 20 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,738 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $934.80 |
| 90480 | <1% | 36 | $610.56 | |
| 99442 | <1% | 24 | $252.72 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $211.98 |
| 3008F | <1% | 135 | $70.00 | |
| 90715 | <1% | 16 | $52.96 | |
| 96160 | <1% | 13 | $44.60 | |
| D4355 | 0% | 481 | $0.00 | |
| D5899 | 0% | 248 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 78 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 255 | $0.00 |
| D2331 | 0% | 30 | $0.00 | |
| 3074F | 0% | 107 | $0.00 | |
| D2330 | 0% | 40 | $0.00 | |
| 3079F | 0% | 20 | $0.00 | |
| D0240 | 0% | 154 | $0.00 | |
| D0270 | 0% | 1,578 | $0.00 | |
| D1354 | 0% | 37 | $0.00 | |
| 3078F | 0% | 82 | $0.00 | |
| 3077F | 0% | 14 | $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 officialHUGHES, DAVID (CFO/COO)
| Provider | Location | Paid |
|---|---|---|
| Lakeshore Community Health Care, INC | Manitowoc, WI | $9.21M |
| Plantation General Hospital L P | Plantation, FL | $7.72M |
| Cornerstone Prosthetics and Orthotics, INC | Everett, WA | $1.54M |
| General Physician Sub I PLLC | Medina, NY | $249K |
| Reliable Medical Response, LLC | Brandon, FL | $75K |
| Geriatric Essentials, PC | Dyersburg, TN | $55K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.