Providence Family Medical Clinic S.C

Providence Family Medical Clinic S.C was paid $267K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoPROVIDENCE FAMILY MEDICAL CLINIC S.C
GLENDALE, WI 53209

33aNPI1861857542assigned 12/22/2015

33bProvider typePrimary Care Clinic/Center

28Total paid$267K

24GClaims13,084

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Wisconsin

Rank by total paid#4 of 17

Median peer was paid$87K

This provider vs. median3.1×

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	1,941	$23K
2019	2,217	$27K
2020	2,908	$64K
2021	2,808	$62K
2022	2,029	$54K
2023	820	$20K
2024incomplete	361	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	71%	5,395	4,399	$190K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	2,336	2,053	$54K
80305		2.3%	963	853	$6K
99000		2.0%	2,525	2,172	$5K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	144	59	$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
94060		<1%	77	73	$2K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	122	53	$2K
99490	Ccm add 20min	<1%	119	113	$730.50
90686		<1%	159	149	$651.78
82962		<1%	400	305	$419.21
90756		<1%	45	44	$389.37

14 more codes

97163		<1%	14	$324.58
0012A		<1%	22	$295.51
0064A		<1%	14	$231.25
94664		<1%	52	$178.34
0011A		<1%	31	$67.76
36415	Collection of venous blood by venipuncture	<1%	283	$6.03
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	23	$0.13
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	0%	13	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	13	$0.00
91301		0%	64	$0.00
G0008	Administration of influenza virus vaccine	0%	178	$0.00
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	0%	17	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	36	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	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 officialOKUSANYA, ADEDAPO (PRESIDENT)