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.

The Lakes Community Health Center, Inc (NPI 1699778233)

Field	Value
Entity Type	Organization
Organization	The Lakes Community Health Center, Inc
Address	15397 State Highway 32
City	Lakewood
State	WI
ZIP	54138
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	6,810	$200	$1.3M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,210	$10	$17K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,340	$10	$12K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,350	$10	$8.1K
D2392	Post 2 surface resin‑based composite	730	$10	$7.3K
D1351	Sealant - per tooth	410	$20	$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…	500	$10	$6.9K
D0120	Periodic oral evaluation - established patient	1,610	$1	$6.4K
D0150	Comprehensive oral evaluation – new or established patient	770	$10	$6.1K
D0210	Intraoral - complete series of radiographic images	250	$20	$5.5K

Showing 1–10 of 26

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

The Lakes Community Health Center, Inc — 0 of 22 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	26	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…	941	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…	721	1,760	250	$40	$173.2K
D2392	Post 2 surface resin‑based composite	121	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	76	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…	637	790	400	$40	$109.6K
D1351	Sealant - per tooth	233	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	98	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	106	240	300	$50	$71.8K
D1120	Prophylaxis–child	225	520	460	$30	$62.6K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Lakes Community Health Center, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$44.5M
Rena Christman	WI	Dentist	$0	$1.2M
Kennan Archer	IA	Physical Therapist	$44K	$0
Jason Klobucher	WI	Physical Therapist	$34.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicolet Pharmacy Inc	WI	Community/Retail Pharmacy	$41.7K	$3.2K

The Lakes Community Health Center, Inc — Billing Profile & Reimbursement Data

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The Lakes Community Health Center, 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