South Street Clinic LLC

South Street Clinic LLC was paid $1K by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoSOUTH STREET CLINIC LLC
OCONOMOWOC, WI 53066

33aNPI1235128356assigned 10/20/2005

33bProvider typeClinical Psychologist

28Total paid$1K

24GClaims24

24DCodes billed1

24AFirst – last monthOct 2018 – Oct 2018

Compared with peers

Next to other Clinical Psychologist providers in Wisconsin

Rank by total paid#42 of 48

Median peer was paid$33K

This provider vs. median0.0×

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	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	100%	24	12	$1K

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 officialWESTON, ANNE (CLINIC OWNER)