Clinic
The Lakes Community Health Center, INC
The Lakes Community Health Center, INC was paid $44.51M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoTHE LAKES COMMUNITY HEALTH CENTER, INC
IRON RIVER, WI 54847
IRON RIVER, WI 54847
33aNPI1811178825assigned 11/19/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$44.51M
24GClaims594,570
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#2 of 46
Median peer was paid$590K
This provider vs. median75×
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 | 102,857 | $6.41M | |
| 2019 | 166,947 | $14.15M | |
| 2020 | 111,567 | $9.64M | |
| 2021 | 144,917 | $13.22M | |
| 2022 | 15,890 | $309K | |
| 2023 | 19,590 | $305K | |
| 2024incomplete | 32,802 | $473K |
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 | 93% | 171,056 | 135,385 | $41.38M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 36,487 | 18,305 | $919K |
| 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% | 18,493 | 14,794 | $383K |
| 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% | 23,705 | 19,795 | $358K |
| 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% | 12,349 | 9,536 | $292K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 9,742 | 3,935 | $230K |
| 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% | 4,597 | 2,241 | $122K |
| D1206 | Topical application of fluoride varnish | <1% | 78,479 | 76,924 | $105K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 8,343 | 4,048 | $92K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,296 | 1,909 | $86K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 4,936 | 1,785 | $82K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,979 | 1,308 | $49K |
66 more codes
| D1120 | Dental cleaning, child | <1% | 18,603 | $48K |
| 90837 | Psychotherapy session, about an hour | <1% | 824 | $39K |
| D1351 | Sealant - per tooth | <1% | 21,427 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,546 | $29K |
| D1110 | Prophylaxis - adult | <1% | 16,576 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 716 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,990 | $19K |
| D0191 | <1% | 54,454 | $19K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 4,277 | $16K |
| D0120 | Dental checkup, returning patient | <1% | 21,765 | $14K |
| 80305 | <1% | 2,529 | $14K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,216 | $13K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,193 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,389 | $12K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,712 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,734 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 573 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 207 | $7K |
| 92015 | Determination of refractive state | <1% | 1,500 | $7K |
| 99000 | <1% | 3,036 | $7K | |
| D0274 | Bitewings - four radiographic images | <1% | 9,195 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 583 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 8,144 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 148 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 129 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 583 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 167 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,347 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 119 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 1,881 | $2K |
| G0466 | Community health center visit, new patient | <1% | 44 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $1K |
| D2331 | <1% | 67 | $1K | |
| 90686 | <1% | 90 | $790.93 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 8,880 | $379.56 |
| 97116 | <1% | 22 | $280.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,494 | $136.70 |
| 98940 | <1% | 2,471 | $135.92 | |
| 85027 | <1% | 16 | $67.55 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $49.60 |
| 90461 | <1% | 12 | $24.80 | |
| 81003 | <1% | 15 | $19.94 | |
| 3008F | 0% | 891 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,095 | $0.00 |
| 3074F | 0% | 1,225 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 44 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 747 | $0.00 |
| D1330 | 0% | 18 | $0.00 | |
| D5899 | 0% | 109 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 175 | $0.00 |
| D1310 | 0% | 18 | $0.00 | |
| D2330 | 0% | 39 | $0.00 | |
| 3079F | 0% | 41 | $0.00 | |
| D4355 | 0% | 30 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 3078F | 0% | 538 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 125 | $0.00 |
| 99201 | 0% | 42 | $0.00 | |
| D0270 | 0% | 24 | $0.00 | |
| 80348 | 0% | 140 | $0.00 | |
| D0707 | 0% | 88 | $0.00 | |
| D1354 | 0% | 879 | $0.00 | |
| D2940 | 0% | 62 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 16 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 22 | $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 officialRICE, REBA (CEO)
| Provider | Location | Paid |
|---|---|---|
| The Lakes Community Health Center, INC | Lakewood, WI | $1.46M |
| The Lakes Community Health Center, INC | Hurley, WI | $257K |
| The Lakes Community Health Center, INC | Ashland, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.