Semcac

Semcac was paid $327K by Medicaid between Jan 2018 and Jun 2024, across 17 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 60% of everything it billed.

33Billing provider infoSEMCAC
WINONA, MN 55987

33aNPI1194843284assigned 03/27/2007

33bProvider typeNon-Pharmacy Dispensing Site

28Total paid$327K

24GClaims7,473

24DCodes billed17

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Non-Pharmacy Dispensing Site providers in Minnesota

Rank by total paid#4 of 31

Median peer was paid$18K

This provider vs. median18×

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	1,982	$97K
2019	2,056	$88K
2020	1,359	$60K
2021	703	$28K
2022	578	$29K
2023	777	$24K
2024incomplete	18	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S4993	Contraceptive pills for birth control	60%	2,177	1,743	$195K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	446	427	$33K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	8.9%	203	201	$29K
A4267	Contraceptive supply, condom, male, each	6.1%	1,355	1,317	$20K
99401		5.7%	402	393	$19K
81025		2.3%	913	886	$8K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2.2%	77	76	$7K
99385		1.8%	38	38	$6K
87210		1.1%	633	610	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	196	173	$3K
83986		<1%	646	623	$2K
36415	Collection of venous blood by venipuncture	<1%	257	249	$967.18

5 more codes

J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	63	$307.41
Q0144	Azithromycin dihydrate, oral, capsules/powder, 1 gram	<1%	15	$209.10
81002		<1%	28	$93.96
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	12	$88.40
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	12	$88.40

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 officialPECKOVER, JOYCE (HEALTH SERVICES DIRECTOR)