Physician
16TH Street Community Health Center INC.
16TH Street Community Health Center INC. was paid $16.28M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 43% of everything it billed.
33Billing provider info16TH STREET COMMUNITY HEALTH CENTER INC.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
33aNPI1417912999assigned 04/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$16.28M
24GClaims451,910
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#2 of 359
Median peer was paid$4K
This provider vs. median4,186×
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 | 77,329 | $2.67M | |
| 2019 | 72,054 | $2.82M | |
| 2020 | 56,548 | $2.17M | |
| 2021 | 53,123 | $1.97M | |
| 2022 | 86,265 | $1.67M | |
| 2023 | 60,039 | $2.31M | |
| 2024incomplete | 46,552 | $2.67M |
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 | 43% | 40,468 | 32,288 | $6.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 102,237 | 89,936 | $2.66M |
| 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 | 11% | 44,026 | 39,533 | $1.77M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.5% | 23,946 | 17,220 | $1.05M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 9,629 | 9,266 | $491K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 7,971 | 7,674 | $424K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 6,555 | 6,335 | $344K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 6,817 | 6,431 | $323K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 3,001 | 2,770 | $226K |
| H1000 | Prenatal care, at-risk assessment | 1.2% | 3,971 | 3,737 | $196K |
| 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 | 1.2% | 8,611 | 6,875 | $196K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 4,982 | 3,804 | $172K |
98 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 9,166 | $148K |
| T1016 | Case management, each 15 minutes | <1% | 15,541 | $112K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 4,149 | $107K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,530 | $100K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 3,734 | $98K |
| 90686 | <1% | 19,454 | $95K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,994 | $66K |
| 99188 | <1% | 5,334 | $60K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 2,129 | $59K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,385 | $58K |
| 83655 | <1% | 4,145 | $48K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,809 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,116 | $39K |
| D1206 | Topical application of fluoride varnish | <1% | 3,652 | $36K |
| D0191 | <1% | 3,821 | $31K | |
| 90648 | <1% | 5,334 | $25K | |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | <1% | 818 | $24K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 676 | $23K |
| 90656 | <1% | 1,271 | $18K | |
| 90677 | <1% | 825 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,282 | $15K |
| 90688 | <1% | 1,184 | $15K | |
| 0012A | <1% | 411 | $15K | |
| 90670 | <1% | 4,479 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 251 | $14K |
| 90723 | <1% | 2,882 | $13K | |
| 0011A | <1% | 460 | $12K | |
| 90651 | <1% | 2,107 | $11K | |
| 90480 | <1% | 337 | $11K | |
| 90680 | <1% | 2,351 | $10K | |
| 36416 | <1% | 4,109 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 164 | $8K |
| 82947 | <1% | 2,066 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 77 | $6K |
| 0124A | <1% | 189 | $6K | |
| 99442 | <1% | 404 | $6K | |
| 0002A | <1% | 144 | $5K | |
| 90633 | <1% | 1,263 | $5K | |
| 90837 | Psychotherapy session, about an hour | <1% | 80 | $5K |
| 0001A | <1% | 117 | $4K | |
| 90734 | <1% | 923 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 271 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 120 | $3K |
| 82962 | <1% | 1,600 | $3K | |
| 90672 | <1% | 116 | $2K | |
| 99201 | <1% | 77 | $2K | |
| 81002 | <1% | 728 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 94 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 151 | $2K |
| 99384 | <1% | 21 | $1K | |
| 90620 | <1% | 173 | $1K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 22 | $1K |
| 90660 | <1% | 79 | $1K | |
| 99441 | <1% | 143 | $958.31 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $924.00 |
| 90685 | <1% | 278 | $901.95 | |
| 92551 | <1% | 7,510 | $896.54 | |
| 90715 | <1% | 124 | $741.80 | |
| 99383 | <1% | 17 | $713.36 | |
| 96380 | <1% | 63 | $660.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $657.02 |
| 59025 | Fetal non-stress test | <1% | 42 | $619.16 |
| 90716 | <1% | 92 | $568.96 | |
| 90707 | <1% | 65 | $565.40 | |
| 94200 | <1% | 45 | $515.62 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,728 | $442.90 |
| 99381 | <1% | 26 | $365.88 | |
| 99173 | <1% | 5,085 | $323.00 | |
| 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% | 174 | $309.47 |
| 81025 | <1% | 68 | $286.83 | |
| 90710 | <1% | 91 | $269.10 | |
| 83026 | <1% | 86 | $234.84 | |
| 90696 | <1% | 78 | $228.76 | |
| 85018 | <1% | 68 | $207.02 | |
| 90700 | <1% | 53 | $148.61 | |
| 69209 | <1% | 21 | $87.66 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,836 | $16.20 |
| 81003 | <1% | 13 | $15.75 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 14 | $1.83 |
| G0008 | Administration of influenza virus vaccine | <1% | 361 | $0.01 |
| 3074F | 0% | 13,732 | $0.00 | |
| 3008F | 0% | 3,823 | $0.00 | |
| D1330 | 0% | 3,082 | $0.00 | |
| 3079F | 0% | 790 | $0.00 | |
| 90381 | 0% | 13 | $0.00 | |
| 3075F | 0% | 84 | $0.00 | |
| 3044F | 0% | 39 | $0.00 | |
| 91315 | 0% | 24 | $0.00 | |
| 90694 | 0% | 16 | $0.00 | |
| 90474 | 0% | 20 | $0.00 | |
| 3078F | 0% | 12,720 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,227 | $0.00 |
| 90461 | 0% | 1,067 | $0.00 | |
| 91300 | 0% | 88 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 130 | $0.00 |
| 90473 | 0% | 55 | $0.00 | |
| 3077F | 0% | 46 | $0.00 | |
| 90380 | 0% | 13 | $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 officialTAYLOR, MARIA CECILIA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sixteenth Street Community Health Centers, INC. | Milwaukee, WI | $13.71M |
| Sixteenth Street Community Health Centers, INC. | Milwaukee, WI | $3.87M |
| Sixteenth Street Community Health Centers, INC. | Milwaukee, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.