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.

Lakeshore Community Health Care, Inc (NPI 1508391020)

Field	Value
Entity Type	Organization
Organization	Lakeshore Community Health Care, Inc
Address	2719 Calumet Ave
City	Manitowoc
State	WI
ZIP	54220
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 21, 2017

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	35,810	$250	$8.8M
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…	1,520	$40	$65.4K
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…	2,820	$20	$64.7K
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…	1,920	$20	$40.3K
90832	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…	1,730	$20	$36.4K
D2392	Post 2 surface resin‑based composite	3,500	$10	$17.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,290	$10	$16.1K
D0210	Intraoral - complete series of radiographic images	2,410	$10	$14.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,850	$1	$11.7K
D1351	Sealant - per tooth	5,220	$1	$10.4K

Showing 1–10 of 42

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

Lakeshore Community Health Care, Inc — 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	11	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…	449	1,630	270	$40	$205.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	102	120	490	$100	$179.5K
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…	463	1,760	250	$40	$173.2K
D2392	Post 2 surface resin‑based composite	39	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	48	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…	161	790	400	$40	$109.6K
D1351	Sealant - per tooth	67	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	57	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	71	240	300	$50	$71.8K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lakeshore Community Health Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$14.7M

Nearby Providers

Other providers in the same ZIP code as Lakeshore Community Health Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manitowoc Co Human Services Dept	WI	Community/Behavioral Health Agency	$0	$18.8M
Holy Family Memorial Inc	WI	General Acute Care Hospital	$0	$5M
Core Treatment Services, Inc.	WI	Community/Behavioral Health Agency	$0	$4.3M
Manitowoc Public School District	WI	Local Education Agency (LEA)	$0	$2.4M
Clint Rau	WI	Pediatric Dentistry	$0	$2.2M
Homecare Health Services Inc	WI	Home Health Agency	$0	$1.8M
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Forefront Dermatology, S.c.	WI	Dermatopathology Physician	$0	$1.6M
City Of Manitowoc	WI	Land Ambulance	$417.9K	$1M
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K

Lakeshore Community Health Care, Inc — Billing Profile & Reimbursement Data

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Lakeshore Community Health Care, Inc — 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