Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lake Superior Community Health Center (NPI 1063789022)

Field	Value
Entity Type	Organization
Organization	Lake Superior Community Health Center
Address	2222 E 5th St
City	Superior
State	WI
ZIP	54880
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 18, 2011

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	15,690	$220	$3.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,500	$50	$242.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,380	$40	$142.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,340	$40	$140.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	380	$130	$50.4K
H0022	Alcohol and/or drug intervention service (planned facilitation)	2,620	$20	$39.3K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	2,020	$10	$26.2K
G0467	Federally 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…	850	$30	$22.9K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	90	$210	$18.1K
D0140	Limited oral evaluation – problem focused	2,550	$10	$12.8K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Lake Superior Community Health Center — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	60	4,880	$230	$4.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	276	1,630	270	$40	$205.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	255	1,760	250	$40	$173.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	38	190	400	$30	$140.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	631	900	410	$70	$130.4K
D2392	Post 2 surface resin‑based composite	86	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	136	220	430	$50	$111.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	141	790	400	$40	$109.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	215	300	3,190	$10	$91.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	265	690	160	$60	$90.4K

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake Superior Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Superior Community Health Center	MN	Federally Qualified Health Center (FQHC)	$0	$13.7M
Lake Superior Community Health Center	WI	Federally Qualified Health Center (FQHC)	$0	$4.9M
Emily Anderson	WI	Family Medicine Physician	$3.4K	$0
Adam Wennersten	WI	Physician Assistant	$3.3K	$0
Jacob Oestreich	MN	Family Medicine Physician	$2.3K	$0
Nicole Shockley	MN	Nurse Practitioner	$2K	$0

Nearby Providers

Other providers in the same ZIP code as Lake Superior Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Hospital Of Superior	WI	Critical Access Hospital	$0	$13.4M
Elisha Zavodnik	WI	Behavior Analyst	$0	$4.1M
Brightwater Health Dba Human Development Center	WI	Community/Behavioral Health Agency	$0	$3.4M
Douglas County	WI	Public Health or Welfare Agency	$0	$2.6M
St. Mary's Hospital Of Superior	WI	Critical Access Hospital Clinic/Center	$0	$1.6M
The Creative Counseling Group	WI	Mental Health Counselor	$0	$1.2M
Walgreen Co	WI	Pharmacy	$245.3K	$54.3K
John Yoon	WI	Ophthalmology Physician	$153.8K	$0
Anna Greiner	WI	Physician Assistant	$29.2K	$0
Professional Portable Radiologic Services, Inc.	WI	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$17.8K	$3K

Lake Superior Community Health Center — Billing Profile & Reimbursement Data

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Lake Superior Community Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References