Physician
Progressive Community Health Centers, INC.
Progressive Community Health Centers, INC. was paid $241K by Medicaid between Jan 2018 and Sep 2020, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 40% of everything it billed.
33Billing provider infoPROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
33aNPI1801262746assigned 08/14/2015
33bProvider typeFamily Medicine Physician
28Total paid$241K
24GClaims8,161
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#45 of 359
Median peer was paid$4K
This provider vs. median62×
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 | 3,249 | $87K | |
| 2019 | 3,926 | $124K | |
| 2020 | 986 | $30K |
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 | 40% | 542 | 457 | $96K |
| 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 | 38% | 2,538 | 2,133 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,254 | 1,083 | $32K |
| 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 | 2.4% | 234 | 202 | $6K |
| 99000 | 2.1% | 1,804 | 1,598 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 596 | 554 | $4K |
| 90756 | 1.0% | 180 | 168 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 26 | $2K |
| 82962 | <1% | 487 | 434 | $1K | |
| 99441 | <1% | 34 | 26 | $272.25 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 12 | $213.57 |
| 36415 | Collection of venous blood by venipuncture | <1% | 407 | 372 | $54.40 |
1 more codes
| 36416 | <1% | 43 | $27.27 |
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 | $7.74M |
| Progressive Community Health Centers, INC. | Milwaukee, WI | $1.90M |
| Progressive Community Health Centers, INC | Milwaukee, WI | $383K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.