Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

NPI: 1518092410 · MILWAUKEE, WI 53215 · Social Worker · NPI assigned 02/22/2007

$13.71M
Total Medicaid Paid
403,143
Total Claims
356,413
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTAYLOR, MARIA CECILIA (CFO)
NPI Enumeration Date02/22/2007

Related Entities

Other providers sharing the same authorized official: TAYLOR, MARIA CECILIA

ProviderCityStateTotal Paid
16TH STREET COMMUNITY HEALTH CENTER INC. MILWAUKEE WI $16.28M
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. MILWAUKEE WI $3.87M
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. MILWAUKEE WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,533 $1.60M
2019 58,487 $2.16M
2020 53,361 $1.99M
2021 53,982 $2.02M
2022 96,160 $1.94M
2023 54,024 $1.85M
2024 39,596 $2.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 35,951 29,150 $6.17M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 91,006 81,051 $2.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,082 30,260 $1.32M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,942 9,561 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,201 7,879 $441K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,767 7,502 $426K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,113 6,720 $343K
90834 Psychotherapy, 45 minutes with patient 5,619 4,217 $239K
G0467 Federally 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 6,803 5,532 $160K
D1206 Topical application of fluoride varnish 12,818 10,943 $124K
Q3014 Telehealth originating site facility fee 5,800 4,977 $115K
D0191 14,232 12,127 $109K
90686 19,537 18,761 $108K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,127 5,238 $88K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,460 1,755 $81K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,997 2,336 $73K
90791 Psychiatric diagnostic evaluation 974 863 $66K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,730 3,636 $61K
99188 5,533 5,224 $59K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,136 3,099 $47K
97161 948 827 $45K
90847 Family psychotherapy with the patient present, 50 minutes 801 692 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,969 2,795 $41K
99215 Prolong outpt/office vis 748 631 $38K
90832 Psychotherapy, 30 minutes with patient 1,313 990 $37K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,192 1,261 $34K
0012A 860 839 $31K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 874 808 $27K
0011A 817 808 $23K
90648 5,441 5,186 $23K
90656 1,349 1,337 $21K
90670 5,033 4,788 $20K
90688 1,308 1,251 $18K
90651 3,185 3,057 $17K
99442 948 837 $16K
90723 3,413 3,259 $13K
90680 2,979 2,854 $12K
90734 2,676 2,569 $11K
59025 Fetal non-stress test 387 240 $10K
90677 444 424 $10K
0002A 251 239 $9K
0001A 227 227 $8K
0124A 244 226 $8K
90480 273 254 $8K
90715 945 904 $8K
83036 Hemoglobin; glycosylated (A1C) 1,255 1,134 $8K
90633 1,821 1,763 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 126 118 $6K
80305 517 398 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 375 329 $5K
82947 1,616 1,455 $5K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 402 186 $5K
90672 201 190 $5K
90620 918 889 $4K
91322 71 62 $4K
99201 152 144 $4K
0054A 118 100 $3K
82962 1,953 1,674 $3K
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 72 68 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 62 44 $2K
97162 50 42 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 148 100 $2K
99238 Hospital discharge day management, 30 minutes or less 97 93 $2K
99441 267 196 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 42 42 $2K
99460 28 25 $2K
0071A 48 48 $2K
0004A 70 65 $2K
99383 31 29 $2K
81025 252 230 $1K
90710 361 346 $1K
90696 336 326 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $1K
D1351 Sealant - per tooth 172 33 $980.76
94200 58 57 $869.22
90746 13 13 $818.50
90837 Psychotherapy, 53 minutes with patient 16 12 $794.01
36416 951 768 $725.66
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 13 $660.22
81002 238 230 $636.03
0074A 29 24 $610.56
90716 215 211 $584.51
90685 168 167 $553.09
90707 160 156 $524.52
90660 35 35 $450.00
0121A 12 12 $449.76
90700 142 140 $424.91
92551 6,986 6,441 $373.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 115 105 $334.86
90653 17 15 $313.10
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 149 127 $312.34
99173 5,008 4,593 $279.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,497 7,769 $271.22
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $261.64
85018 119 116 $253.83
96380 27 27 $240.00
97116 21 14 $227.56
11721 16 12 $150.50
81003 86 76 $91.68
90694 57 46 $80.00
97010 607 332 $62.08
G0008 Administration of influenza virus vaccine 416 376 $40.01
90472 Immunization administration, each additional vaccine (list separately) 2,555 2,290 $24.29
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 30 30 $2.17
3079F 1,028 904 $0.00
3074F 12,963 11,634 $0.00
D1330 4,501 3,244 $0.00
90474 37 37 $0.00
3008F 4,001 3,717 $0.00
D0603 666 648 $0.00
3075F 85 72 $0.00
91315 13 13 $0.00
91301 12 12 $0.00
3078F 12,073 10,853 $0.00
90461 809 741 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,696 1,644 $0.00
3077F 214 167 $0.00
H1003 Prenatal care, at-risk enhanced service; education 28 27 $0.00
91300 140 132 $0.00
90473 44 43 $0.00
H1000 Prenatal care, at-risk assessment 23 19 $0.00
91312 12 12 $0.00