Behavioral
16TH Street Community Health Center INC.
16TH Street Community Health Center INC. was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 42% of everything it billed.
33Billing provider info16TH STREET COMMUNITY HEALTH CENTER INC.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
33aNPI1144593815assigned 02/10/2012
33bProvider typeCounselor
28Total paid$1.51M
24GClaims43,329
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Wisconsin
Rank by total paid#3 of 59
Median peer was paid$7K
This provider vs. median215×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,337 | $175K | |
| 2019 | 5,391 | $272K | |
| 2020 | 5,411 | $237K | |
| 2021 | 4,558 | $175K | |
| 2022 | 11,847 | $207K | |
| 2023 | 7,693 | $245K | |
| 2024incomplete | 4,092 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 42% | 4,361 | 3,264 | $639K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 13,012 | 10,246 | $399K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 7,641 | 5,001 | $239K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 3,494 | 2,860 | $73K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.7% | 1,823 | 1,345 | $41K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 1,367 | 991 | $35K |
| 80305 | 1.2% | 2,259 | 1,676 | $18K | |
| Q3014 | Telehealth originating site facility fee | 1.1% | 1,207 | 816 | $16K |
| 99442 | 1.0% | 1,337 | 982 | $15K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 277 | 221 | $14K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 491 | 136 | $5K |
| 90686 | <1% | 529 | 496 | $4K |
27 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 139 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 148 | $2K |
| 90688 | <1% | 111 | $2K | |
| 0012A | <1% | 38 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 89 | $1K |
| 0011A | <1% | 30 | $1K | |
| 90656 | <1% | 27 | $510.44 | |
| 0124A | <1% | 21 | $496.08 | |
| 0002A | <1% | 12 | $448.15 | |
| 82962 | <1% | 201 | $328.52 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $165.60 |
| 99441 | <1% | 21 | $163.35 | |
| 82947 | <1% | 19 | $81.16 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 18 | $43.84 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $26.48 |
| 99173 | <1% | 232 | $19.00 | |
| 36416 | <1% | 29 | $15.15 | |
| 92551 | <1% | 284 | $15.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 330 | $3.22 |
| 3074F | 0% | 1,576 | $0.00 | |
| 3008F | 0% | 187 | $0.00 | |
| 3079F | 0% | 356 | $0.00 | |
| 3075F | 0% | 74 | $0.00 | |
| 3078F | 0% | 1,388 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTAMPS, TANYA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sixteenth Street Community Health Centers, INC. | Milwaukee, WI | $256K |
| Sixteenth Street Community Health Centers, INC | Milwaukee, WI | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.