Clinic
Kenosha Community Health Center, INC
Kenosha Community Health Center, INC was paid $237K by Medicaid between Jan 2023 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
33Billing provider infoKENOSHA COMMUNITY HEALTH CENTER, INC
KENOSHA, WI 53144
KENOSHA, WI 53144
33aNPI1710635677assigned 03/10/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$237K
24GClaims22,220
24DCodes billed44
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#29 of 46
Median peer was paid$590K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 10,134 | $91K | |
| 2024incomplete | 12,086 | $147K |
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 | 55% | 1,166 | 677 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,641 | 1,359 | $50K |
| 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 | 11% | 697 | 590 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 181 | 143 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 93 | 89 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 129 | 97 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 63 | 52 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 48 | 24 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 245 | 215 | $2K |
| 99173 | <1% | 116 | 101 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 93 | 80 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | 30 | $1K |
32 more codes
| D1206 | Topical application of fluoride varnish | <1% | 110 | $884.45 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | $828.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 324 | $792.22 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 43 | $772.92 |
| 80061 | Lipid panel | <1% | 87 | $589.16 |
| 92551 | <1% | 59 | $585.36 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | $548.82 |
| D1120 | Dental cleaning, child | <1% | 17 | $427.70 |
| D1110 | Prophylaxis - adult | <1% | 56 | $393.28 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 68 | $385.60 |
| 83655 | <1% | 54 | $363.30 | |
| D0120 | Dental checkup, returning patient | <1% | 37 | $307.12 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $148.21 |
| 85018 | <1% | 56 | $111.39 | |
| 81025 | <1% | 28 | $77.49 | |
| 1160F | 0% | 3,020 | $0.00 | |
| 3078F | 0% | 2,250 | $0.00 | |
| 1159F | 0% | 3,019 | $0.00 | |
| 90461 | 0% | 223 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 618 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 73 | $0.00 |
| 3077F | 0% | 77 | $0.00 | |
| D0191 | 0% | 14 | $0.00 | |
| 3074F | 0% | 2,673 | $0.00 | |
| 3008F | 0% | 3,736 | $0.00 | |
| 3079F | 0% | 476 | $0.00 | |
| D1330 | 0% | 327 | $0.00 | |
| 4010F | 0% | 81 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 36 | $0.00 |
| D0603 | 0% | 16 | $0.00 | |
| 3075F | 0% | 69 | $0.00 | |
| 3080F | 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 officialSTAMPFL, JOHN (CONTROLLER)