FAMILY HEALTH CENTER OF MARSHFIELD, INC.

NPI: 1780376913 · RHINELANDER, WI 54501 · Federally Qualified Health Center (FQHC) · NPI assigned 05/25/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DARRACOTT, KYMBERLI controls 11+ related entities in our dataset. Read more

$2.72M

Total Medicaid Paid

15,737

Total Claims

11,267

Beneficiaries

Codes Billed

2023-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	DARRACOTT, KYMBERLI (CREDENTIALING SPECIALIST)
NPI Enumeration Date	05/25/2023

Other providers sharing the same authorized official: DARRACOTT, KYMBERLI

Provider	City	State	Total Paid
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	CHIPPEWA FALLS	WI	$8.74M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	MENOMONIE	WI	$5.83M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	RICE LAKE	WI	$3.75M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	LADYSMITH	WI	$3.72M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	MARSHFIELD	WI	$3.41M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	MEDFORD	WI	$2.34M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	NEILLSVILLE	WI	$1.86M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	BLACK RIVER FALLS	WI	$1.63M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	PARK FALLS	WI	$1.52M
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	MINOCQUA	WI	$110K
FAMILY HEALTH CENTER OF MARSHFIELD, INC.	MARSHFIELD	WI	$40K

Year	Claims	Total Paid
2023	2,362	$48K
2024	13,375	$2.67M

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	5,346	4,100	$2.67M
D0140	Limited oral evaluation - problem focused	1,528	1,409	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	576	415	$10K
D7140	Extraction, erupted tooth or exposed root	1,087	459	$9K
D1206	Topical application of fluoride varnish	1,100	1,026	$4K
D0220	Intraoral - periapical first radiographic image	1,376	1,267	$4K
D1354		2,439	560	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	254	181	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	83	59	$2K
D0120	Periodic oral evaluation - established patient	476	435	$1K
D1110	Prophylaxis - adult	250	229	$989.30
D2331		28	13	$977.32
D0274	Bitewings - four radiographic images	199	190	$733.38
D0330	Panoramic radiographic image	12	12	$539.98
D0230	Intraoral - periapical each additional radiographic image	83	68	$194.75
D0210	Intraoral - complete series of radiographic images	302	293	$64.55
D0150	Comprehensive oral evaluation - new or established patient	371	358	$29.64
D5899		110	77	$0.00
D1120	Prophylaxis - child	117	116	$0.00