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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 1952093023 · Menomonie, 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 Menomonie, Wisconsin. This profile covers 0 Medicare and 25 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
    Address404 Red Cedar St
    CityMenomonie
    StateWI
    ZIP54751
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 25, 2023

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

    Payer SourceTotal Paid
    Medicaid$5.8M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive11,080$500$5.5M
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)3,380$20$50.6K
    D0210Intraoral - complete series of radiographic images2,390$20$35.8K
    D2392Post 2 surface resin‑based composite1,660$20$31.6K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,340$10$30.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,730$10$23.6K
    D2391Resin‑based composite – one surface, posterior1,500$10$19.5K
    D0140Limited oral evaluation – problem focused2,410$10$19.2K
    D1351Sealant - per tooth4,540$1$18.2K
    D0120Periodic oral evaluation - established patient3,100$10$15.5K

    Showing 1–10 of 25

    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

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive20604,880$230$4.9M
    D7210Extraction, 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…99120490$100$179.5K
    D2392Post 2 surface resin‑based composite66270510$60$123.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)36220430$50$111.4K
    D1351Sealant - per tooth793401,020$20$90.2K
    D2393Resin-based composite, three surfaces, posterior65140270$70$72.8K
    D2391Resin‑based composite – one surface, posterior57240300$50$71.8K
    D1120Prophylaxis–child170520460$30$62.6K
    D0210Intraoral - complete series of radiographic images52270360$40$60K
    D0120Periodic oral evaluation - established patient97500480$20$56K

    Showing 1–10 of 25

    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$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$3.4M
    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
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WICritical Access Hospital$0$9.9M
    Arbor Place, Inc.WISubstance Abuse Rehabilitation Facility$0$4.6M
    County Of DunnWICase Management Agency$0$3M
    Northwest Journey - Menomonie Day TreatmentWIAdolescent and Children Mental Health Clinic/Center$0$2M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WIMulti-Specialty Clinic/Center$0$1.6M
    Aurora Community Health IncWIHome Health Aide$0$1.3M
    School District Of The Menomonie AreaWILocal Education Agency (LEA)$0$1.3M
    City Of MenomonieWILand Ambulance$426.8K$499.5K
    Walgreen CoWIPharmacy$156.1K$32K
    Ronald HesslerWIOphthalmology Physician$147.7K$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 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin