Sixteenth Street Community Health Centers, INC
Sixteenth Street Community Health Centers, INC was paid $10K by Medicaid between Jan 2021 and May 2021, across 11 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 35% of everything it billed.
MILWAUKEE, WI 53204
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 509 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 35% | 90 | 66 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 46 | 34 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 54 | 30 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 33 | 29 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 31 | 26 | $853.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 15 | 13 | $374.77 |
| 90686 | 3.1% | 166 | 135 | $297.90 | |
| Q3014 | Telehealth originating site facility fee | 2.8% | 14 | 12 | $272.28 |
| 99188 | 1.3% | 22 | 17 | $128.90 | |
| 90651 | <1% | 23 | 15 | $43.03 | |
| 90734 | <1% | 15 | 13 | $43.03 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| 16TH Street Community Health Center INC. | Waukesha, WI | $1.51M |
| Sixteenth Street Community Health Centers, INC. | Milwaukee, WI | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.