Lac Du Flambeau Band of Lake Superior Chippewa Indians

Lac Du Flambeau Band of Lake Superior Chippewa Indians was paid $44K by Medicaid between Nov 2018 and Oct 2020, across 6 billing codes. Its largest line is H0022, Alcohol and/or drug intervention service (planned facilitation) — 41% of everything it billed.

33Billing provider infoLAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
LAC DU FLAMBEAU, WI 54538

33aNPI1669970729assigned 01/24/2018

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$44K

24GClaims1,165

24DCodes billed6

24AFirst – last monthNov 2018 – Oct 2020

Compared with peers

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

Rank by total paid#35 of 46

Median peer was paid$590K

This provider vs. median0.1×

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	83	$6K
2019	666	$22K
2020	416	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0022	Alcohol and/or drug intervention service (planned facilitation)	41%	433	119	$18K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	36%	185	66	$16K
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	16%	365	77	$7K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	3.8%	30	13	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.1%	131	50	$930.28
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	21	12	$240.56

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 officialAHLBORN, PAMELA (COMPLIANCE & CONTRACT COORDINATOR)