Physician
Kenosha Community Health Center, INC.
Kenosha Community Health Center, INC. was paid $2.38M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 46% of everything it billed.
33Billing provider infoKENOSHA COMMUNITY HEALTH CENTER, INC.
KENOSHA, WI 53140
KENOSHA, WI 53140
33aNPI1265435960assigned 05/27/2005
33bProvider typeFamily Medicine Physician
28Total paid$2.38M
24GClaims77,071
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#11 of 359
Median peer was paid$4K
This provider vs. median612×
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 | 18,871 | $822K | |
| 2019 | 12,587 | $466K | |
| 2020 | 3,407 | $92K | |
| 2021 | 6,891 | $173K | |
| 2022 | 4,879 | $199K | |
| 2023 | 13,961 | $241K | |
| 2024incomplete | 16,475 | $387K |
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 | 46% | 7,911 | 5,707 | $1.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 17,921 | 14,824 | $381K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.6% | 4,779 | 2,929 | $204K |
| 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 | 6.2% | 4,534 | 3,856 | $147K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.6% | 1,635 | 1,071 | $132K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 828 | 707 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 972 | 923 | $47K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 1,180 | 804 | $40K |
| 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 | 1.6% | 1,561 | 1,266 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 721 | 671 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 612 | 579 | $29K |
| 99173 | 1.2% | 1,915 | 1,808 | $28K |
73 more codes
| 92551 | <1% | 1,832 | $19K | |
| 3008F | <1% | 6,603 | $18K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 242 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 891 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 436 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 233 | $11K |
| 0011A | <1% | 294 | $7K | |
| 0012A | <1% | 183 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 222 | $5K |
| 90686 | <1% | 1,221 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 625 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 152 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 408 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 93 | $3K |
| 99188 | <1% | 254 | $3K | |
| 90651 | <1% | 397 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 127 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 116 | $1K |
| 99406 | <1% | 768 | $1K | |
| 99383 | <1% | 28 | $1K | |
| 0002A | <1% | 63 | $1K | |
| 90670 | <1% | 351 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 45 | $725.75 |
| 0001A | <1% | 58 | $677.60 | |
| 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% | 24 | $627.19 |
| 99000 | <1% | 296 | $580.07 | |
| 80061 | Lipid panel | <1% | 63 | $568.74 |
| 99001 | <1% | 394 | $568.40 | |
| 90685 | <1% | 145 | $444.52 | |
| 90633 | <1% | 149 | $418.78 | |
| 81025 | <1% | 125 | $393.86 | |
| 99442 | <1% | 18 | $353.52 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $274.44 |
| 90688 | <1% | 17 | $240.69 | |
| 96127 | <1% | 73 | $239.40 | |
| 90715 | <1% | 87 | $230.18 | |
| 90647 | <1% | 60 | $186.72 | |
| 90734 | <1% | 74 | $179.07 | |
| 85018 | <1% | 70 | $154.93 | |
| 90696 | <1% | 43 | $129.82 | |
| 90710 | <1% | 42 | $129.82 | |
| 90698 | <1% | 41 | $122.47 | |
| 90674 | <1% | 53 | $119.16 | |
| 83655 | <1% | 17 | $100.46 | |
| 90680 | <1% | 29 | $76.46 | |
| 90620 | <1% | 32 | $73.15 | |
| 83037 | <1% | 21 | $58.26 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $54.75 |
| 90744 | <1% | 22 | $49.65 | |
| 91301 | <1% | 358 | $0.75 | |
| 91300 | <1% | 88 | $0.32 | |
| 3074F | 0% | 2,478 | $0.00 | |
| 3079F | 0% | 821 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 132 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 59 | $0.00 |
| 1170F | 0% | 50 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 115 | $0.00 |
| 3075F | 0% | 127 | $0.00 | |
| 4010F | 0% | 83 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | $0.00 |
| 3080F | 0% | 81 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 25 | $0.00 |
| 1159F | 0% | 3,981 | $0.00 | |
| 1160F | 0% | 3,982 | $0.00 | |
| 3078F | 0% | 1,980 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 60 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 112 | $0.00 |
| 3077F | 0% | 152 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 91 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 26 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 54 | $0.00 |
| 4004F | 0% | 35 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 28 | $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 officialCOFFEY, MARY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Kenosha Community Health Center, INC. | Kenosha, WI | $133K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.