Physician
Kenosha Community Health Center, INC
Kenosha Community Health Center, INC was paid $4.14M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoKENOSHA COMMUNITY HEALTH CENTER, INC
KENOSHA, WI 53143
KENOSHA, WI 53143
33aNPI1770789489assigned 06/21/2007
33bProvider typeFamily Medicine Physician
28Total paid$4.14M
24GClaims154,158
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#9 of 359
Median peer was paid$4K
This provider vs. median1,065×
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 | 34,679 | $485K | |
| 2019 | 30,281 | $804K | |
| 2020 | 17,055 | $560K | |
| 2021 | 17,242 | $655K | |
| 2022 | 19,515 | $631K | |
| 2023 | 19,382 | $484K | |
| 2024incomplete | 16,004 | $524K |
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 | 65% | 17,915 | 12,872 | $2.71M |
| D1206 | Topical application of fluoride varnish | 4.1% | 20,703 | 18,318 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 13,507 | 12,171 | $169K |
| D1110 | Prophylaxis - adult | 3.7% | 8,520 | 7,391 | $154K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 8,603 | 7,517 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 2,326 | 1,766 | $92K |
| D0274 | Bitewings - four radiographic images | 2.2% | 8,819 | 7,388 | $92K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 15,573 | 13,225 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 5,015 | 4,096 | $66K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 2,218 | 1,573 | $63K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 5,432 | 4,787 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 18,128 | 8,150 | $46K |
57 more codes
| D1351 | Sealant - per tooth | <1% | 3,383 | $38K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,376 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,030 | $29K |
| D0330 | Panoramic radiographic image | <1% | 2,640 | $29K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 986 | $27K |
| D0272 | Bitewings - two radiographic images | <1% | 2,479 | $22K |
| D0191 | <1% | 3,917 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 751 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 648 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 435 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 183 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 86 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 584 | $5K |
| D2140 | <1% | 113 | $4K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 84 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 50 | $3K |
| D0240 | <1% | 320 | $3K | |
| 99173 | <1% | 175 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 43 | $2K |
| 99000 | <1% | 1,348 | $2K | |
| 92551 | <1% | 229 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 102 | $2K |
| 99201 | <1% | 117 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 61 | $2K |
| 0071A | <1% | 74 | $2K | |
| 3008F | <1% | 213 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $1K |
| D0170 | <1% | 85 | $1K | |
| 0072A | <1% | 25 | $765.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 156 | $688.48 |
| 80061 | Lipid panel | <1% | 32 | $329.28 |
| D9110 | <1% | 14 | $315.46 | |
| 96127 | <1% | 88 | $311.84 | |
| 99001 | <1% | 332 | $299.92 | |
| D0270 | <1% | 47 | $230.94 | |
| 90674 | <1% | 81 | $218.46 | |
| 99188 | <1% | 16 | $167.57 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22 | $129.45 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 30 | $107.54 |
| 90685 | <1% | 23 | $66.20 | |
| 90686 | <1% | 93 | $56.52 | |
| 90651 | <1% | 34 | $49.70 | |
| 90734 | <1% | 13 | $43.03 | |
| 90715 | <1% | 12 | $36.41 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 61 | $34.20 |
| 91307 | <1% | 75 | $0.05 | |
| D9990 | 0% | 37 | $0.00 | |
| 1159F | 0% | 16 | $0.00 | |
| 1160F | 0% | 16 | $0.00 | |
| 90756 | 0% | 12 | $0.00 | |
| D0602 | 0% | 387 | $0.00 | |
| D1330 | 0% | 2,023 | $0.00 | |
| D0601 | 0% | 647 | $0.00 | |
| D0603 | 0% | 1,483 | $0.00 | |
| D1310 | 0% | 35 | $0.00 | |
| D1353 | 0% | 38 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $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 officialWATERS, JACK (EXECUTIVE DIRECTOR)