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THE LAKES COMMUNITY HEALTH CENTER, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·IRON RIVER, WI·NPI: 1811178825Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.5M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.5M

$44,508,215

Total Claims

595K

Beneficiaries

469K

1.3 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+121%
2019
$14.1M
-32%
2020
$9.6M
+37%
2021
$13.2M
-98%
2022
$309K
-1%
2023
$305K
+55%
2024
$473K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 93% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$41.4M

171K claims · 93.0%

Your Cost: $241.94/claim|Median: $121.16
2.0× median
90834Normal range

Psychotherapy, 45 minutes

$919K

36K claims · 2.1%

Your Cost: $25.20/claim|Median: $63.65
0.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$383K

18K claims · 0.9%

Your Cost: $20.72/claim|Median: $53.41
0.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$358K

24K claims · 0.8%

Your Cost: $15.12/claim|Median: $37.81
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$292K

12K claims · 0.7%

Your Cost: $23.61/claim|Median: $21.91
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$230K

9,742 claims · 0.5%

Your Cost: $23.57/claim|Median: $33.11
0.7× median
G0470Normal range

Chronic care management services, FQHC/RHC

$122K

4,597 claims · 0.3%

Your Cost: $26.53/claim|Median: $45.95
0.6× median
D1206Normal range

Topical application of fluoride varnish

$105K

78K claims · 0.2%

Your Cost: $1.34/claim|Median: $18.12
0.1× median
H0022Normal range

$92K

8,343 claims · 0.2%

Your Cost: $11.04/claim|Median: $32.48
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$86K

4,296 claims · 0.2%

Your Cost: $19.94/claim|Median: $41.28
0.5× median
92507Normal range

Speech/hearing/language treatment

$82K

4,936 claims · 0.2%

Your Cost: $16.63/claim|Median: $49.45
0.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$49K

2,979 claims · 0.1%

Your Cost: $16.42/claim|Median: $20.04
0.8× median
D1120Normal range

Prophylaxis, adult

$48K

19K claims · 0.1%

Your Cost: $2.59/claim|Median: $33.86
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$39K

824 claims · 0.1%

Your Cost: $47.88/claim|Median: $85.66
0.6× median
D1351Normal range

Sealant, per tooth

$34K

21K claims · 0.1%

Your Cost: $1.60/claim|Median: $26.10
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$29K

5,546 claims · 0.1%

Your Cost: $5.16/claim|Median: $71.00
0.1× median
D1110Normal range

Prophylaxis, adult cleaning

$22K

17K claims · 0.0%

Your Cost: $1.31/claim|Median: $43.38
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$21K

716 claims · 0.0%

Your Cost: $29.39/claim|Median: $74.09
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$19K

5,990 claims · 0.0%

Your Cost: $3.21/claim|Median: $32.07
0.1× median
D0191Normal range

$19K

54K claims · 0.0%

Your Cost: $0.34/claim|Median: $11.16
0.0× median
H0005Normal range

Alcohol and/or drug services, group counseling

$16K

4,277 claims · 0.0%

Your Cost: $3.79/claim|Median: $47.35
0.1× median
D0120Normal range

Periodic oral evaluation, established patient

$14K

22K claims · 0.0%

Your Cost: $0.63/claim|Median: $24.34
0.0× median
80305Normal range

$14K

2,529 claims · 0.0%

Your Cost: $5.40/claim|Median: $7.44
0.7× median
G2025Normal range

$13K

1,216 claims · 0.0%

Your Cost: $10.71/claim|Median: $15.63
0.7× median
90853Normal range

Group psychotherapy

$12K

1,193 claims · 0.0%

Your Cost: $9.94/claim|Median: $25.02
0.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$12K

3,389 claims · 0.0%

Your Cost: $3.46/claim|Median: $54.60
0.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$11K

3,712 claims · 0.0%

Your Cost: $2.97/claim|Median: $46.33
0.1× median
D0140Normal range

Limited oral evaluation, problem focused

$10K

6,734 claims · 0.0%

Your Cost: $1.42/claim|Median: $27.07
0.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$9K

573 claims · 0.0%

Your Cost: $15.40/claim|Median: $59.72
0.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$7K

207 claims · 0.0%

Your Cost: $35.35/claim|Median: $111.09
0.3× median
92015Normal range

Determination of refractive state

$7K

1,500 claims · 0.0%

Your Cost: $4.61/claim|Median: $10.36
0.4× median
99000Normal range

$7K

3,036 claims · 0.0%

Your Cost: $2.22/claim|Median: $2.30
1.0× median
D0274Normal range

Bitewings, four radiographic images

$6K

9,195 claims · 0.0%

Your Cost: $0.65/claim|Median: $22.54
0.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$5K

583 claims · 0.0%

Your Cost: $8.61/claim|Median: $19.46
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$5K

8,144 claims · 0.0%

Your Cost: $0.59/claim|Median: $10.51
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$4K

148 claims · 0.0%

Your Cost: $28.76/claim|Median: $99.21
0.3× median
90847Normal range

Family psychotherapy with patient, 50 min

$3K

129 claims · 0.0%

Your Cost: $26.49/claim|Median: $77.33
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$3K

583 claims · 0.0%

Your Cost: $5.74/claim|Median: $25.06
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$3K

167 claims · 0.0%

Your Cost: $17.87/claim|Median: $47.08
0.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$3K

4,347 claims · 0.0%

Your Cost: $0.60/claim|Median: $57.39
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$2K

119 claims · 0.0%

Your Cost: $17.61/claim|Median: $84.26
0.2× median
D0272Normal range

Bitewings, two radiographic images

$2K

1,881 claims · 0.0%

Your Cost: $1.08/claim|Median: $15.81
0.1× median
G0466Normal range

$2K

44 claims · 0.0%

Your Cost: $36.65/claim|Median: $63.31
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1K

27 claims · 0.0%

Your Cost: $50.72/claim|Median: $84.03
0.6× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$1K

67 claims · 0.0%

Your Cost: $19.68/claim|Median: $73.58
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$791

90 claims · 0.0%

Your Cost: $8.79/claim|Median: $7.18
1.2× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$380

8,880 claims · 0.0%

Your Cost: $0.04/claim|Median: $20.83
0.0× median
97116Normal range

Gait training

$281

22 claims · 0.0%

Your Cost: $12.76/claim|Median: $12.48
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$137

1,494 claims · 0.0%

Your Cost: $0.09/claim|Median: $1.57
0.1× median
98940Normal range

$136

2,471 claims · 0.0%

Your Cost: $0.06/claim|Median: $14.55
0.0× median

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