Physician
Progressive Community Health Centers, INC.
Progressive Community Health Centers, INC. was paid $7.74M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 48% of everything it billed.
33Billing provider infoPROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53208
MILWAUKEE, WI 53208
33aNPI1720153653assigned 11/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.74M
24GClaims320,356
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#7 of 359
Median peer was paid$4K
This provider vs. median1,990×
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 | 31,888 | $1.01M | |
| 2019 | 29,072 | $967K | |
| 2020 | 25,147 | $863K | |
| 2021 | 38,516 | $1.07M | |
| 2022 | 47,155 | $1.24M | |
| 2023 | 82,021 | $1.34M | |
| 2024incomplete | 66,557 | $1.25M |
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 | 48% | 19,148 | 15,623 | $3.74M |
| 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 | 14% | 29,249 | 26,109 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 30,761 | 26,819 | $776K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 8,359 | 5,270 | $201K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 4,257 | 3,817 | $127K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 2,004 | 1,907 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 2,104 | 1,922 | $107K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 2,000 | 1,760 | $106K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.4% | 4,526 | 3,866 | $105K |
| D1206 | Topical application of fluoride varnish | 1.2% | 9,026 | 8,090 | $90K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 6,963 | 6,366 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 3,157 | 2,100 | $83K |
108 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 5,204 | $81K |
| D1120 | Dental cleaning, child | <1% | 3,764 | $72K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 979 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,374 | $63K |
| 99000 | <1% | 22,366 | $62K | |
| D0120 | Dental checkup, returning patient | <1% | 5,096 | $61K |
| D0330 | Panoramic radiographic image | <1% | 2,507 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,130 | $60K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 2,154 | $56K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 577 | $44K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,363 | $38K |
| D0274 | Bitewings - four radiographic images | <1% | 2,815 | $36K |
| 90837 | Psychotherapy session, about an hour | <1% | 774 | $35K |
| D1110 | Prophylaxis - adult | <1% | 1,684 | $34K |
| D1351 | Sealant - per tooth | <1% | 2,825 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 562 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 789 | $28K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 385 | $27K |
| D0191 | <1% | 3,036 | $23K | |
| 90756 | <1% | 1,418 | $20K | |
| 0012A | <1% | 515 | $17K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 397 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 244 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 289 | $13K |
| 81025 | <1% | 1,943 | $12K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,100 | $12K |
| 0011A | <1% | 543 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,185 | $10K |
| D2160 | <1% | 290 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 920 | $9K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 126 | $8K |
| D2140 | <1% | 409 | $8K | |
| 82962 | <1% | 3,881 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 147 | $7K |
| 90688 | <1% | 376 | $6K | |
| 90697 | <1% | 444 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 112 | $4K |
| 0064A | <1% | 141 | $4K | |
| 0002A | <1% | 112 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 86 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,314 | $3K |
| 90671 | <1% | 451 | $3K | |
| 0001A | <1% | 122 | $3K | |
| D1354 | <1% | 592 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 175 | $2K |
| 99442 | <1% | 187 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 145 | $2K |
| 99441 | <1% | 270 | $2K | |
| 99443 | <1% | 109 | $2K | |
| 90656 | <1% | 150 | $2K | |
| 0004A | <1% | 57 | $1K | |
| D9110 | <1% | 85 | $1K | |
| 90681 | <1% | 162 | $1K | |
| 99460 | <1% | 19 | $1K | |
| 99381 | <1% | 28 | $1K | |
| 90686 | <1% | 217 | $1K | |
| 90658 | <1% | 51 | $999.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 50 | $936.65 |
| 81003 | <1% | 542 | $851.78 | |
| D0270 | <1% | 212 | $779.53 | |
| 99384 | <1% | 13 | $667.33 | |
| 90661 | <1% | 26 | $614.40 | |
| 90670 | <1% | 179 | $546.15 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $533.66 |
| D4355 | <1% | 20 | $491.45 | |
| 11721 | <1% | 34 | $488.60 | |
| 81002 | <1% | 174 | $445.11 | |
| 99201 | <1% | 20 | $435.12 | |
| 90651 | <1% | 12 | $165.00 | |
| 99188 | <1% | 16 | $154.68 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $147.69 |
| 36416 | <1% | 143 | $138.68 | |
| D0240 | <1% | 15 | $123.75 | |
| 3044F | <1% | 420 | $90.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 887 | $70.62 |
| G0008 | Administration of influenza virus vaccine | <1% | 89 | $12.63 |
| 91301 | <1% | 1,083 | $1.39 | |
| 91300 | <1% | 397 | $0.24 | |
| 3078F | 0% | 19,354 | $0.00 | |
| 1159F | 0% | 18,261 | $0.00 | |
| 1160F | 0% | 17,455 | $0.00 | |
| 3077F | 0% | 2,114 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 160 | $0.00 |
| 90633 | 0% | 69 | $0.00 | |
| 90649 | 0% | 31 | $0.00 | |
| 90734 | 0% | 31 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 90707 | 0% | 18 | $0.00 | |
| D0180 | 0% | 26 | $0.00 | |
| 1126F | 0% | 8,856 | $0.00 | |
| 3074F | 0% | 22,494 | $0.00 | |
| 1125F | 0% | 6,109 | $0.00 | |
| 3075F | 0% | 2,240 | $0.00 | |
| 3008F | 0% | 2,369 | $0.00 | |
| 3079F | 0% | 6,443 | $0.00 | |
| 3080F | 0% | 1,205 | $0.00 | |
| 1170F | 0% | 153 | $0.00 | |
| D1310 | 0% | 177 | $0.00 | |
| D1330 | 0% | 147 | $0.00 | |
| D0602 | 0% | 17 | $0.00 | |
| 91306 | 0% | 141 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 243 | $0.00 |
| 90619 | 0% | 16 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 99406 | 0% | 29 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 16 | $0.00 |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 16 | $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 officialCOLE, CANDICE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Progressive Community Health Centers, INC. | Milwaukee, WI | $1.90M |
| Progressive Community Health Centers, INC | Milwaukee, WI | $383K |
| Progressive Community Health Centers, INC. | Milwaukee, WI | $241K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.