Clinic
Lakeshore Community Health Care, INC
Lakeshore Community Health Care, INC was paid $9.21M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoLAKESHORE COMMUNITY HEALTH CARE, INC
MANITOWOC, WI 54220
MANITOWOC, WI 54220
33aNPI1508391020assigned 04/21/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.21M
24GClaims129,147
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#6 of 46
Median peer was paid$590K
This provider vs. median16×
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 | 25,357 | $1.52M | |
| 2019 | 31,995 | $2.34M | |
| 2020 | 20,443 | $1.65M | |
| 2021 | 27,836 | $2.50M | |
| 2022 | 17,084 | $1.03M | |
| 2023 | 3,321 | $87K | |
| 2024incomplete | 3,111 | $94K |
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 | 96% | 35,807 | 27,021 | $8.86M |
| 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% | 1,522 | 1,305 | $65K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,815 | 1,349 | $65K |
| 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% | 1,920 | 1,646 | $39K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,731 | 1,099 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 3,501 | 2,582 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,293 | 1,077 | $15K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,412 | 2,331 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 10,422 | 10,092 | $12K |
| D1110 | Prophylaxis - adult | <1% | 5,848 | 5,668 | $11K |
| D1351 | Sealant - per tooth | <1% | 5,218 | 1,295 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 3,944 | 3,834 | $9K |
30 more codes
| D0274 | Bitewings - four radiographic images | <1% | 4,917 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,543 | $7K |
| D0191 | <1% | 4,508 | $5K | |
| D0120 | Dental checkup, returning patient | <1% | 5,199 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,811 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,029 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 9,147 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 11,963 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 434 | $3K |
| 99000 | <1% | 1,112 | $3K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 50 | $3K |
| 98940 | <1% | 2,526 | $2K | |
| D4355 | <1% | 196 | $2K | |
| D2331 | <1% | 87 | $1K | |
| 99443 | <1% | 91 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 35 | $875.25 |
| 90686 | <1% | 29 | $435.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 898 | $343.16 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $175.95 |
| 3008F | <1% | 166 | $80.00 | |
| D5899 | 0% | 1,005 | $0.00 | |
| 3074F | 0% | 115 | $0.00 | |
| 3079F | 0% | 36 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 21 | $0.00 |
| 3080F | 0% | 16 | $0.00 | |
| D2330 | 0% | 32 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 17 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 390 | $0.00 |
| D0270 | 0% | 230 | $0.00 | |
| 3078F | 0% | 80 | $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)
| Provider | Location | Paid |
|---|---|---|
| Lakeshore Community Health Care, INC | Sheboygan, WI | $14.74M |
| 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.