Chorus Community Health Plans

Chorus Community Health Plans was paid $19K by Medicaid between Jan 2018 and Jun 2018, across 5 billing codes. Its largest line is H1003, Prenatal care, at-risk enhanced service; education — 44% of everything it billed.

33Billing provider infoCHORUS COMMUNITY HEALTH PLANS
MILWAUKEE, WI 53226

33aNPI1770784167assigned 05/31/2007

33bProvider typeHealth Maintenance Organization

28Total paid$19K

24GClaims736

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Health Maintenance Organization providers in Wisconsin

Rank by total paid#8 of 10

Median peer was paid$270K

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	736	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1003	Prenatal care, at-risk enhanced service; education	44%	242	226	$8K
H1004	Prenatal care, at-risk enhanced service; follow-up home visit	30%	178	165	$6K
T1016	Case management, each 15 minutes	13%	256	234	$3K
H1002	Prenatal care, at risk enhanced service; care coordination	7.1%	29	29	$1K
H1000	Prenatal care, at-risk assessment	6.3%	31	31	$1K

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 officialRAKOWSKI, MARK (PRESIDENT)