Stockbridge Munsee Community

Stockbridge Munsee Community was paid $375K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 51% of everything it billed.

33Billing provider infoSTOCKBRIDGE MUNSEE COMMUNITY
BOWLER, WI 54416

33aNPI1629070180assigned 08/15/2005

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$375K

24GClaims12,281

24DCodes billed32

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin

Rank by total paid#27 of 46

Median peer was paid$590K

This provider vs. median0.6×

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	1,185	$36K
2019	1,381	$43K
2020	1,207	$33K
2021	2,654	$62K
2022	2,452	$71K
2023	2,409	$74K
2024incomplete	993	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	51%	2,333	1,584	$191K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	4,182	3,584	$107K
98940		6.7%	1,836	1,119	$25K
D1206	Topical application of fluoride varnish	3.7%	1,015	996	$14K
D1110	Prophylaxis - adult	1.8%	204	202	$7K
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	1.8%	338	207	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.6%	403	397	$6K
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%	99	85	$3K
98942		<1%	101	52	$3K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	30	25	$2K
99000		<1%	694	522	$2K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	29	24	$2K

20 more codes

0012A		<1%	38	$936.87
D0210	Intraoral - complete series of radiographic images	<1%	14	$816.65
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	33	$758.53
0124A		<1%	32	$654.43
0011A		<1%	43	$542.08
D0274	Bitewings - four radiographic images	<1%	28	$541.17
D0140	Limited oral evaluation - problem focused	<1%	26	$532.81
90832	Psychotherapy session, about 30 minutes	<1%	14	$471.70
90686		<1%	77	$401.07
D1120	Dental cleaning, child	<1%	12	$261.84
87807		<1%	18	$222.70
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	$178.97
36415	Collection of venous blood by venipuncture	<1%	441	$156.42
90674		<1%	12	$145.67
80048	Basic metabolic panel (calcium, ionized)	<1%	17	$85.64
83036	Hemoglobin; glycosylated (A1C)	<1%	14	$62.89
90460	Immunization administration through 18 years of age via any route, first or only component	0%	76	$0.00
90461		0%	13	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	14	$0.00
91301		0%	82	$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 officialMILLER, WALLACE (TRIBAL CHAIRMAN)