Clinic
Lake Superior Community Health Center
Lake Superior Community Health Center was paid $13.75M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 27% of everything it billed.
33Billing provider infoLAKE SUPERIOR COMMUNITY HEALTH CENTER
DULUTH, MN 55807
DULUTH, MN 55807
33aNPI1699708297assigned 07/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.75M
24GClaims142,026
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Minnesota
Rank by total paid#6 of 42
Median peer was paid$1.18M
This provider vs. median12×
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 | 28,388 | $1.16M | |
| 2019 | 23,729 | $1.57M | |
| 2020 | 13,532 | $1.42M | |
| 2021 | 22,266 | $2.85M | |
| 2022 | 19,577 | $2.51M | |
| 2023 | 17,361 | $2.09M | |
| 2024incomplete | 17,173 | $2.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 27% | 15,782 | 14,353 | $3.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 10,811 | 8,849 | $1.87M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 8,968 | 8,793 | $1.84M |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 5,040 | 4,903 | $1.22M |
| D5899 | 6.5% | 4,382 | 2,892 | $887K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 4,142 | 1,623 | $716K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 8,231 | 4,681 | $650K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 4,042 | 3,229 | $574K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 3,226 | 2,344 | $522K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 3,898 | 2,798 | $491K |
| 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 | 2.3% | 1,634 | 1,402 | $313K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 1,491 | 1,336 | $228K |
40 more codes
| D2330 | 1.4% | 1,895 | $194K | |
| D2331 | <1% | 1,116 | $137K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 477 | $81K |
| D2335 | <1% | 474 | $72K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 327 | $68K |
| D2394 | <1% | 380 | $48K | |
| G0467 | Community health center visit, returning patient | <1% | 714 | $48K |
| D2332 | <1% | 298 | $44K | |
| 90837 | Psychotherapy session, about an hour | <1% | 222 | $40K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 155 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 38 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $3K |
| D9110 | <1% | 274 | $2K | |
| D2160 | <1% | 41 | $2K | |
| D5110 | <1% | 12 | $2K | |
| D1354 | <1% | 188 | $2K | |
| D2140 | <1% | 50 | $2K | |
| 80047 | <1% | 1,505 | $1K | |
| D2940 | <1% | 30 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,948 | $863.33 |
| D1110 | Prophylaxis - adult | <1% | 9,599 | $756.35 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,087 | $476.45 |
| D0274 | Bitewings - four radiographic images | <1% | 11,043 | $416.50 |
| D0330 | Panoramic radiographic image | <1% | 8,361 | $405.88 |
| D1206 | Topical application of fluoride varnish | <1% | 9,664 | $300.34 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 754 | $273.97 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 8,497 | $177.58 |
| D4355 | <1% | 255 | $105.00 | |
| 80306 | <1% | 154 | $68.87 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,360 | $36.79 |
| 90686 | <1% | 111 | $25.00 | |
| D1120 | Dental cleaning, child | <1% | 1,742 | $22.25 |
| D0272 | Bitewings - two radiographic images | <1% | 700 | $12.89 |
| 0011A | 0% | 98 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 252 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 292 | $0.00 |
| 0012A | 0% | 97 | $0.00 | |
| 0013A | 0% | 50 | $0.00 | |
| 90658 | 0% | 79 | $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 officialHOMAN, LEE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Community Health Center | Superior, WI | $4.16M |
| Lake Superior Community Health Center | Carlton, MN | $2.69M |
| Lake Superior Community Health Center | Duluth, MN | $1.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.