Forest County Potawatomi Community
Forest County Potawatomi Community was paid $292K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoFOREST COUNTY POTAWATOMI COMMUNITY
CRANDON, WI 54520
CRANDON, WI 54520
33aNPI1285741306assigned 08/24/2006
33bProvider typeDietary Manager
28Total paid$292K
24GClaims18,021
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
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 | 1,924 | $36K | |
| 2019 | 1,662 | $31K | |
| 2020 | 1,723 | $34K | |
| 2021 | 4,466 | $68K | |
| 2022 | 3,384 | $51K | |
| 2023 | 3,379 | $38K | |
| 2024incomplete | 1,483 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,316 | 2,075 | $68K |
| 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 | 17% | 1,167 | 1,033 | $49K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 13% | 1,035 | 871 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 1,761 | 1,397 | $19K |
| 80305 | 6.4% | 1,884 | 1,018 | $19K | |
| D1110 | Prophylaxis - adult | 4.2% | 595 | 562 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 406 | 376 | $11K |
| D1206 | Topical application of fluoride varnish | 3.6% | 1,041 | 861 | $11K |
| 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 | 3.4% | 398 | 308 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 875 | 732 | $9K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.7% | 1,069 | 379 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 455 | 374 | $7K |
28 more codes
| 92015 | Determination of refractive state | 2.3% | 1,111 | $7K |
| 99000 | 1.9% | 2,048 | $6K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 226 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 52 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 75 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 51 | $1K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 40 | $1K |
| D1351 | Sealant - per tooth | <1% | 69 | $1K |
| 3008F | <1% | 95 | $730.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 40 | $649.01 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $632.83 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 29 | $597.80 |
| 80053 | Comprehensive metabolic panel | <1% | 97 | $587.92 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 31 | $564.85 |
| D1354 | <1% | 41 | $352.44 | |
| 98940 | <1% | 39 | $325.12 | |
| 96127 | <1% | 70 | $174.61 | |
| 80061 | Lipid panel | <1% | 19 | $141.20 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $129.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 23 | $93.23 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20 | $77.86 |
| 90686 | <1% | 20 | $49.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 648 | $34.52 |
| V2020 | Frames, purchases | <1% | 15 | $4.44 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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 officialDANIELS, NED (TRIBAL CHAIRMAN)
| Provider | Location | Paid |
|---|---|---|
| Forest County Potawatomi Health & Wellness Center | Crandon, WI | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.