Behavioral
Sixteenth Street Community Health Centers, INC.
Sixteenth Street Community Health Centers, INC. was paid $256K by Medicaid between Nov 2021 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 33% of everything it billed.
33Billing provider infoSIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
33aNPI1316587439assigned 01/07/2020
33bProvider typeCounselor
28Total paid$256K
24GClaims9,515
24DCodes billed11
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Counselor providers in Wisconsin
Rank by total paid#10 of 59
Median peer was paid$7K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2021 | 325 | $5K | |
| 2022 | 3,772 | $71K | |
| 2023 | 3,307 | $85K | |
| 2024incomplete | 2,111 | $96K |
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 | 33% | 1,502 | 1,018 | $84K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 24% | 1,678 | 1,140 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,412 | 1,911 | $50K |
| 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 | 6.9% | 786 | 618 | $18K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 611 | 434 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 270 | 239 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 1,833 | 1,223 | $9K |
| 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 | 1.6% | 184 | 151 | $4K |
| 3074F | 0% | 135 | 103 | $0.00 | |
| 3079F | 0% | 32 | 24 | $0.00 | |
| 3078F | 0% | 72 | 53 | $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 |
|---|---|---|
| 16TH Street Community Health Center INC. | Waukesha, WI | $1.51M |
| 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.