Clinic
Menominee Indian Tribe of Wisconsin
Menominee Indian Tribe of Wisconsin was paid $3.28M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoMENOMINEE INDIAN TRIBE OF WISCONSIN
KESHENA, WI 54135
KESHENA, WI 54135
33aNPI1568404721assigned 06/12/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.28M
24GClaims115,030
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#15 of 46
Median peer was paid$590K
This provider vs. median5.6×
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 | 14,263 | $300K | |
| 2019 | 16,138 | $334K | |
| 2020 | 13,461 | $379K | |
| 2021 | 21,800 | $544K | |
| 2022 | 19,552 | $563K | |
| 2023 | 16,644 | $525K | |
| 2024incomplete | 13,172 | $639K |
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 | 31% | 29,862 | 23,544 | $1.03M |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10% | 1,556 | 1,298 | $342K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.2% | 7,711 | 6,246 | $303K |
| 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 | 6.8% | 5,124 | 4,519 | $222K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 8,970 | 7,363 | $199K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 4.1% | 213 | 199 | $136K |
| D1206 | Topical application of fluoride varnish | 3.5% | 8,498 | 8,353 | $115K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 5,113 | 4,829 | $107K |
| A0390 | Als mileage (per mile) | 3.2% | 1,185 | 1,017 | $106K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 2,402 | 1,591 | $94K |
| 80306 | 2.4% | 5,283 | 2,201 | $78K | |
| D1110 | Prophylaxis - adult | 2.1% | 2,362 | 2,307 | $68K |
55 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.1% | 2,225 | $68K |
| D1120 | Dental cleaning, child | 2.0% | 2,793 | $65K |
| D0274 | Bitewings - four radiographic images | 1.4% | 2,290 | $47K |
| D0120 | Dental checkup, returning patient | 1.2% | 2,540 | $41K |
| 90837 | Psychotherapy session, about an hour | 1.1% | 910 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 4,289 | $36K |
| D1351 | Sealant - per tooth | <1% | 2,101 | $29K |
| 92015 | Determination of refractive state | <1% | 3,829 | $25K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 740 | $22K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 404 | $10K |
| 99000 | <1% | 3,425 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 230 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 650 | $9K |
| 90686 | <1% | 682 | $8K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 458 | $8K |
| 90688 | <1% | 539 | $6K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 305 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 207 | $5K |
| D0270 | <1% | 597 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 103 | $5K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | <1% | 185 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 270 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 210 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 132 | $2K |
| D0330 | Panoramic radiographic image | <1% | 64 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 290 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 54 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $952.90 |
| 90480 | <1% | 53 | $900.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 155 | $873.47 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $859.74 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $792.74 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 27 | $731.99 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $731.76 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 40 | $713.24 |
| 81001 | <1% | 254 | $707.31 | |
| 90656 | <1% | 39 | $675.03 | |
| A0382 | Bls routine disposable supplies | <1% | 109 | $583.63 |
| 85027 | <1% | 79 | $381.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 43 | $312.16 |
| 90756 | <1% | 18 | $258.53 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 30 | $181.78 |
| 90715 | <1% | 12 | $165.00 | |
| 80061 | Lipid panel | <1% | 14 | $147.29 |
| 92310 | <1% | 138 | $75.00 | |
| 90734 | <1% | 12 | $36.41 | |
| 90651 | <1% | 12 | $36.41 | |
| 92250 | <1% | 14 | $24.85 | |
| 90863 | 0% | 435 | $0.00 | |
| D0191 | 0% | 4,072 | $0.00 | |
| D1330 | 0% | 489 | $0.00 | |
| D1353 | 0% | 27 | $0.00 | |
| D0170 | 0% | 44 | $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 officialWAUKAU, JERRY (HEALTH ADMINISTRATOR)