Clinic
The Lakes Community Health Center, INC
The Lakes Community Health Center, INC was paid $1.46M by Medicaid between Jan 2018 and Jan 2019, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoTHE LAKES COMMUNITY HEALTH CENTER, INC
LAKEWOOD, WI 54138
LAKEWOOD, WI 54138
33aNPI1699778233assigned 05/27/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.46M
24GClaims20,910
24DCodes billed26
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#23 of 46
Median peer was paid$590K
This provider vs. median2.5×
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 | 19,584 | $1.34M | |
| 2019 | 1,326 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 6,805 | 5,260 | $1.35M |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 1,214 | 512 | $17K |
| D1110 | Prophylaxis - adult | <1% | 1,336 | 1,288 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 1,354 | 1,178 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 734 | 485 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 495 | 335 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,608 | 1,538 | $7K |
| D1351 | Sealant - per tooth | <1% | 409 | 132 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 765 | 736 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 900 | 852 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 250 | 239 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 654 | 626 | $6K |
14 more codes
| D0274 | Bitewings - four radiographic images | <1% | 1,016 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 359 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,499 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 140 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 537 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 48 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 126 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 80 | $1K |
| D0191 | <1% | 83 | $876.06 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 329 | $677.48 |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 94 | $0.00 |
| D5899 | 0% | 29 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 34 | $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 officialRICE, REBA (CEO)
| Provider | Location | Paid |
|---|---|---|
| The Lakes Community Health Center, INC | Iron River, WI | $44.51M |
| The Lakes Community Health Center, INC | Hurley, WI | $257K |
| The Lakes Community Health Center, INC | Ashland, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.