Clinic
Access Community Health Centers, INC.
Access Community Health Centers, INC. was paid $51.89M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoACCESS COMMUNITY HEALTH CENTERS, INC.
MADISON, WI 53704
MADISON, WI 53704
33aNPI1417055617assigned 09/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$51.89M
24GClaims555,329
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#1 of 46
Median peer was paid$590K
This provider vs. median88×
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 | 89,635 | $6.68M | |
| 2019 | 115,011 | $11.53M | |
| 2020 | 78,959 | $7.90M | |
| 2021 | 95,534 | $9.46M | |
| 2022 | 103,505 | $9.78M | |
| 2023 | 62,893 | $6.19M | |
| 2024incomplete | 9,792 | $356K |
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 | 95% | 186,615 | 152,409 | $49.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 34,502 | 30,969 | $708K |
| 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 | 1.1% | 17,375 | 15,404 | $579K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,004 | 8,945 | $409K |
| 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% | 4,234 | 3,453 | $103K |
| 99442 | <1% | 5,771 | 4,966 | $87K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,844 | 1,702 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,317 | 1,280 | $63K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,386 | 5,192 | $56K |
| 90686 | <1% | 6,979 | 6,816 | $48K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 879 | 870 | $43K |
| D1110 | Prophylaxis - adult | <1% | 18,608 | 18,239 | $42K |
89 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 8,608 | $40K |
| D1206 | Topical application of fluoride varnish | <1% | 36,772 | $38K |
| D1120 | Dental cleaning, child | <1% | 15,366 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13,613 | $31K |
| D0120 | Dental checkup, returning patient | <1% | 23,643 | $27K |
| 0012A | <1% | 784 | $27K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,066 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 18,640 | $23K |
| D1351 | Sealant - per tooth | <1% | 11,610 | $21K |
| 0011A | <1% | 768 | $21K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 24,601 | $20K |
| 99441 | <1% | 2,170 | $18K | |
| 91322 | <1% | 149 | $18K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 7,552 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 13,769 | $15K |
| 0064A | <1% | 514 | $15K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 127 | $14K |
| 90674 | <1% | 1,049 | $14K | |
| 0001A | <1% | 370 | $13K | |
| 0002A | <1% | 344 | $12K | |
| D4355 | <1% | 1,496 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,250 | $11K |
| 90480 | <1% | 361 | $10K | |
| 99443 | <1% | 492 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 22,071 | $9K |
| 0071A | <1% | 318 | $9K | |
| 0054A | <1% | 262 | $8K | |
| 99188 | <1% | 686 | $7K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,806 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 853 | $6K |
| 90677 | <1% | 143 | $6K | |
| 0072A | <1% | 190 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 111 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12,350 | $4K |
| 0004A | <1% | 105 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $3K |
| 90670 | <1% | 661 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 297 | $2K |
| D2140 | <1% | 459 | $2K | |
| 0052A | <1% | 56 | $2K | |
| 90656 | <1% | 91 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 52 | $2K |
| 90723 | <1% | 343 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 623 | $2K |
| 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% | 31 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,869 | $1K |
| 0124A | <1% | 38 | $1K | |
| 90647 | <1% | 262 | $1K | |
| D0191 | <1% | 4,649 | $1K | |
| 90661 | <1% | 38 | $986.58 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $871.48 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 177 | $811.92 |
| 90688 | <1% | 60 | $591.24 | |
| 0134A | <1% | 16 | $534.24 | |
| 0081A | <1% | 16 | $401.84 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 418 | $186.07 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 32 | $161.97 |
| 90633 | <1% | 43 | $122.47 | |
| 76801 | <1% | 12 | $116.13 | |
| 90651 | <1% | 27 | $82.75 | |
| 90734 | <1% | 15 | $36.41 | |
| 90681 | <1% | 12 | $36.41 | |
| 87210 | <1% | 13 | $35.05 | |
| 3044F | <1% | 86 | $10.00 | |
| D0270 | <1% | 1,302 | $7.08 | |
| 91301 | <1% | 126 | $0.41 | |
| 91306 | <1% | 497 | $0.01 | |
| D0180 | 0% | 2,271 | $0.00 | |
| D1354 | 0% | 578 | $0.00 | |
| 3078F | 0% | 385 | $0.00 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 111 | $0.00 |
| D0190 | 0% | 5,193 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 308 | $0.00 |
| D2791 | 0% | 13 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| D2940 | 0% | 17 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 35 | $0.00 |
| D9996 | 0% | 59 | $0.00 | |
| 3074F | 0% | 671 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 617 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 141 | $0.00 |
| D5899 | 0% | 2,288 | $0.00 | |
| D2331 | 0% | 33 | $0.00 | |
| D7230 | 0% | 157 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 328 | $0.00 |
| 91305 | 0% | 52 | $0.00 | |
| D7240 | Removal of impacted tooth - completely bony | 0% | 106 | $0.00 |
| D2330 | 0% | 15 | $0.00 | |
| D0240 | 0% | 41 | $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 officialHOLLAND, JOANNE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Access Community Health Centers, INC. | Madison, WI | $0.00 |
| Access Community Health Centers, INC. | Madison, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.