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    OpenPayerNPI Medicare & MedicaidFamily Health Center Of Marshfield Inc
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    Family Health Center Of Marshfield Inc — Billing Profile & Reimbursement Data

    NPI 1952093015 · Marshfield, WI · Federally Qualified Health Center (FQHC)

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    Family Health Center Of Marshfield Inc is a federally qualified health center (fqhc) provider located in Marshfield, Wisconsin. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamily Health Center Of Marshfield Inc
    Address1307 N Saint Joseph Ave
    CityMarshfield
    StateWI
    ZIP54449
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 25, 2023

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive6,710$490$3.3M
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,640$10$29K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,080$10$16.7K
    D0140Limited oral evaluation – problem focused2,320$10$16.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,980$1$11.9K
    D0120Periodic oral evaluation - established patient2,370$10$11.8K
    D0210Intraoral - complete series of radiographic images1,340$10$10.7K
    D0274N/A1,420$10$8.5K
    D0220Intraoral - periapical first radiographic image2,220$1$6.7K
    D1120Prophylaxis–child990$10$5K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive28604,880$230$4.9M
    D2392Post 2 surface resin‑based composite137270510$60$123.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)41220430$50$111.4K
    D1351Sealant - per tooth3173401,020$20$90.2K
    D2393Resin-based composite, three surfaces, posterior84140270$70$72.8K
    D2391Resin‑based composite – one surface, posterior167240300$50$71.8K
    D1120Prophylaxis–child193520460$30$62.6K
    D0210Intraoral - complete series of radiographic images74270360$40$60K
    D0120Periodic oral evaluation - established patient116500480$20$56K
    D9230N/A116120300$40$54.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Health Center Of Marshfield IncWIDental Clinic/Center$0$20.4M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$8.7M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$5.8M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$3.8M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$3.7M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$3.2M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$2.7M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$2.3M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$1.9M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$1.6M

    Nearby Providers

    Other providers in the same ZIP code as Family Health Center Of Marshfield Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Marriage & Family Health Services, Ltd.WIAdolescent and Children Mental Health Clinic/Center$0$2.6M
    Mchs Hospitals IncWILand Ambulance$1.4M$987.9K
    School District Of MarshfieldWILocal Education Agency (LEA)$0$1.7M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.3M
    City Of MarshfieldWILand Ambulance$200K$484.6K
    Lori BentsWIChiropractor$27.4K$399.4K
    Yan GuoWIOphthalmology Physician$318.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    1 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Family Health Center Of Marshfield Inc — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin