Supplier
Lac Courte Oreilles Governing
Lac Courte Oreilles Governing was paid $2.49M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 60% of everything it billed.
33Billing provider infoLAC COURTE OREILLES GOVERNING
HAYWARD, WI 54843
HAYWARD, WI 54843
33aNPI1598890378assigned 02/22/2007
28Total paid$2.49M
24GClaims55,567
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 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 | 4,524 | $183K | |
| 2019 | 3,714 | $217K | |
| 2020 | 4,991 | $297K | |
| 2021 | 11,351 | $438K | |
| 2022 | 10,082 | $456K | |
| 2023 | 12,106 | $505K | |
| 2024incomplete | 8,799 | $390K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 60% | 13,852 | 3,012 | $1.50M |
| 99199 | Unlisted special service, procedure or report | 10% | 1,919 | 913 | $253K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 7,061 | 6,171 | $221K |
| 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 | 5.9% | 2,625 | 2,118 | $148K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 2,452 | 2,206 | $51K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1.6% | 1,771 | 909 | $41K |
| D1206 | Topical application of fluoride varnish | 1.5% | 2,484 | 2,391 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 2,658 | 2,351 | $29K |
| 80305 | 1.1% | 2,570 | 1,728 | $27K | |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,194 | 1,096 | $26K |
| D1110 | Prophylaxis - adult | <1% | 703 | 687 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 788 | 760 | $14K |
59 more codes
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 141 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 349 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 427 | $8K |
| D1120 | Dental cleaning, child | <1% | 327 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 798 | $7K |
| 0002A | <1% | 192 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 260 | $6K |
| 0001A | <1% | 166 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 74 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $5K |
| D0330 | Panoramic radiographic image | <1% | 137 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 223 | $4K |
| D1351 | Sealant - per tooth | <1% | 265 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 415 | $4K |
| 0012A | <1% | 117 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,112 | $3K |
| 99000 | <1% | 1,281 | $3K | |
| 98940 | <1% | 200 | $3K | |
| 80061 | Lipid panel | <1% | 247 | $3K |
| 92015 | Determination of refractive state | <1% | 396 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 273 | $2K |
| 0071A | <1% | 57 | $2K | |
| 0011A | <1% | 126 | $2K | |
| 0004A | <1% | 51 | $2K | |
| 90686 | <1% | 110 | $2K | |
| 0064A | <1% | 46 | $2K | |
| 0072A | <1% | 38 | $1K | |
| 99242 | <1% | 22 | $836.82 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $767.04 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 86 | $634.67 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 16 | $561.44 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 16 | $561.44 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 16 | $473.60 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 16 | $385.28 |
| 86318 | <1% | 106 | $273.38 | |
| 83655 | <1% | 44 | $242.20 | |
| 86803 | <1% | 16 | $228.32 | |
| 90688 | <1% | 19 | $202.43 | |
| 86780 | <1% | 16 | $172.32 | |
| 87340 | <1% | 16 | $165.28 | |
| D0270 | <1% | 12 | $123.33 | |
| 85018 | <1% | 44 | $54.51 | |
| 36416 | <1% | 43 | $42.42 | |
| 81003 | <1% | 47 | $40.50 | |
| 91300 | 0% | 181 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 100 | $0.00 |
| 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) | 0% | 77 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 24 | $0.00 |
| D1330 | 0% | 2,971 | $0.00 | |
| D1310 | 0% | 1,422 | $0.00 | |
| D9215 | 0% | 1,778 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 174 | $0.00 |
| 91306 | 0% | 13 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 94 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 31 | $0.00 |
| 91307 | 0% | 42 | $0.00 | |
| 91301 | 0% | 105 | $0.00 | |
| A4215 | Needle, sterile, any size, each | 0% | 15 | $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 officialBAKER, RAE (BILLING MANAGER)
Parent organizationLAC COURTE OREILLES GOVERNING
| Provider | Location | Paid |
|---|---|---|
| Lac Courte Oreilles Governing | Hayward, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.