Clinic
ST. Croix Tribal Council
ST. Croix Tribal Council was paid $135K by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 44% of everything it billed.
33Billing provider infoST. CROIX TRIBAL COUNCIL
WEBSTER, WI 54893
WEBSTER, WI 54893
33aNPI1831170091assigned 11/07/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$135K
24GClaims6,432
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#31 of 46
Median peer was paid$590K
This provider vs. median0.2×
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 | 541 | $7K | |
| 2019 | 451 | $6K | |
| 2020 | 704 | $19K | |
| 2021 | 2,158 | $48K | |
| 2022 | 1,389 | $34K | |
| 2023 | 763 | $12K | |
| 2024incomplete | 426 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 44% | 1,349 | 1,252 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 458 | 418 | $15K |
| D1206 | Topical application of fluoride varnish | 7.7% | 757 | 742 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.6% | 831 | 762 | $9K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 402 | 383 | $7K |
| 92587 | 3.8% | 115 | 109 | $5K | |
| 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 | 2.4% | 78 | 68 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 62 | 57 | $3K |
| 92015 | Determination of refractive state | 1.8% | 336 | 327 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 166 | 159 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 46 | 44 | $2K |
| D1110 | Prophylaxis - adult | 1.1% | 50 | 49 | $2K |
32 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 26 | $1K |
| 92567 | 1.1% | 106 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 17 | $1K |
| 92551 | <1% | 108 | $1K | |
| 99173 | <1% | 69 | $950.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $912.34 |
| 87634 | <1% | 14 | $901.29 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 117 | $893.26 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $888.24 |
| D1120 | Dental cleaning, child | <1% | 39 | $880.55 |
| D0191 | <1% | 443 | $803.48 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 28 | $697.68 |
| 0011A | <1% | 27 | $440.44 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 51 | $350.76 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $250.70 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $249.08 |
| 90656 | <1% | 14 | $224.40 | |
| 80053 | Comprehensive metabolic panel | <1% | 25 | $199.64 |
| 80305 | <1% | 47 | $189.00 | |
| 99000 | <1% | 134 | $184.24 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $179.52 |
| D0330 | Panoramic radiographic image | <1% | 15 | $157.10 |
| 90686 | <1% | 17 | $137.09 | |
| 99441 | <1% | 14 | $98.01 | |
| 81002 | <1% | 13 | $8.70 | |
| 97802 | 0% | 24 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 180 | $0.00 |
| 91301 | 0% | 64 | $0.00 | |
| D1330 | 0% | 27 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 99177 | 0% | 48 | $0.00 | |
| D0190 | 0% | 17 | $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 officialHEINZ, AMBER (HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| ST. Croix Tribal Council | Webster, WI | $851.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.