Physician
LA Clinica De Los Campesinos, INC
LA Clinica De Los Campesinos, INC was paid $24.35M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoLA CLINICA DE LOS CAMPESINOS, INC
STEVENS POINT, WI 54481
STEVENS POINT, WI 54481
33aNPI1790786929assigned 08/10/2005
33bProvider typeFamily Medicine Physician
28Total paid$24.35M
24GClaims300,220
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#1 of 359
Median peer was paid$4K
This provider vs. median6,260×
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 | 48,974 | $3.66M | |
| 2019 | 94,715 | $8.20M | |
| 2020 | 77,569 | $7.17M | |
| 2021 | 35,078 | $3.06M | |
| 2022 | 13,101 | $792K | |
| 2023 | 16,501 | $934K | |
| 2024incomplete | 14,282 | $530K |
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 | 95% | 101,692 | 74,821 | $23.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,029 | 7,385 | $226K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,957 | 1,744 | $173K |
| 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 | <1% | 4,710 | 3,837 | $147K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,973 | 2,295 | $113K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 2,240 | 1,237 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 11,725 | 5,095 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 11,038 | 7,196 | $48K |
| 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% | 2,710 | 1,728 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 6,213 | 4,001 | $19K |
| 80305 | <1% | 2,099 | 1,182 | $18K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 10,774 | 9,669 | $16K |
78 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 6,050 | $16K |
| D1110 | Prophylaxis - adult | <1% | 10,873 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14,331 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 21,920 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 2,213 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 718 | $11K |
| D1351 | Sealant - per tooth | <1% | 7,176 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 220 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 7,944 | $6K |
| D0120 | Dental checkup, returning patient | <1% | 11,784 | $6K |
| D1120 | Dental cleaning, child | <1% | 8,285 | $6K |
| 90686 | <1% | 560 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,450 | $5K |
| 0002A | <1% | 150 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 101 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 145 | $5K |
| 0001A | <1% | 140 | $5K | |
| 87428 | <1% | 156 | $3K | |
| 0031A | <1% | 80 | $3K | |
| 3008F | <1% | 330 | $2K | |
| 80061 | Lipid panel | <1% | 213 | $2K |
| D4355 | <1% | 61 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 211 | $2K |
| D0191 | <1% | 1,539 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 178 | $1K |
| 0012A | <1% | 33 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $1K |
| 0071A | <1% | 42 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 220 | $1K |
| D2394 | <1% | 48 | $964.90 | |
| D0272 | Bitewings - two radiographic images | <1% | 2,368 | $952.65 |
| 0011A | <1% | 33 | $852.00 | |
| 0004A | <1% | 22 | $725.04 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $670.78 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 42 | $668.79 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $645.15 |
| 0072A | <1% | 23 | $577.92 | |
| 0054A | <1% | 12 | $457.92 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 22 | $405.02 |
| 90656 | <1% | 17 | $323.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,871 | $284.17 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $177.62 |
| D0270 | <1% | 782 | $174.15 | |
| 81003 | <1% | 110 | $164.58 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 18 | $138.67 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 49 | $136.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,116 | $74.17 |
| 99000 | <1% | 13 | $50.96 | |
| 85018 | <1% | 32 | $47.30 | |
| 36416 | <1% | 13 | $15.15 | |
| 91300 | <1% | 386 | $0.26 | |
| 91301 | <1% | 72 | $0.05 | |
| 3075F | 0% | 338 | $0.00 | |
| D2160 | 0% | 69 | $0.00 | |
| D5899 | 0% | 2,716 | $0.00 | |
| 3079F | 0% | 1,104 | $0.00 | |
| 3074F | 0% | 4,521 | $0.00 | |
| D2331 | 0% | 496 | $0.00 | |
| D0603 | 0% | 358 | $0.00 | |
| D2335 | 0% | 58 | $0.00 | |
| 91307 | 0% | 71 | $0.00 | |
| D2330 | 0% | 52 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 212 | $0.00 |
| D0601 | 0% | 13 | $0.00 | |
| D0602 | 0% | 70 | $0.00 | |
| 91305 | 0% | 14 | $0.00 | |
| 91303 | 0% | 83 | $0.00 | |
| 3078F | 0% | 3,938 | $0.00 | |
| D2140 | 0% | 149 | $0.00 | |
| 3077F | 0% | 145 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 980 | $0.00 |
| D2332 | 0% | 32 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 19 | $0.00 |
| D1354 | 0% | 325 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 15 | $0.00 |
| D2951 | 0% | 17 | $0.00 | |
| D2940 | 0% | 13 | $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 officialBENDER, ERIN (ENROLLMENT AND CONTRACT SPECIALIST)