Behavioral
Sixteenth Street Community Health Centers, INC.
Sixteenth Street Community Health Centers, INC. was paid $13.71M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 45% of everything it billed.
33Billing provider infoSIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1518092410assigned 02/22/2007
33bProvider typeSocial Worker
28Total paid$13.71M
24GClaims403,143
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Wisconsin
Rank by total paid#1 of 67
Median peer was paid$8K
This provider vs. median1,698×
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 | 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 | |
| 2024incomplete | 39,596 | $2.16M |
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 | 45% | 35,951 | 29,150 | $6.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 91,006 | 81,051 | $2.52M |
| 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 | 9.6% | 34,082 | 30,260 | $1.32M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 9,942 | 9,561 | $523K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 8,201 | 7,879 | $441K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 7,767 | 7,502 | $426K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 7,113 | 6,720 | $343K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 5,619 | 4,217 | $239K |
| 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% | 6,803 | 5,532 | $160K |
| D1206 | Topical application of fluoride varnish | <1% | 12,818 | 10,943 | $124K |
| Q3014 | Telehealth originating site facility fee | <1% | 5,800 | 4,977 | $115K |
| D0191 | <1% | 14,232 | 12,127 | $109K |
110 more codes
| 90686 | <1% | 19,537 | $108K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,127 | $88K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 3,460 | $81K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,997 | $73K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 974 | $66K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,730 | $61K |
| 99188 | <1% | 5,533 | $59K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,136 | $47K |
| 97161 | <1% | 948 | $45K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 801 | $44K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,969 | $41K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 748 | $38K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,313 | $37K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,192 | $34K |
| 0012A | <1% | 860 | $31K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 874 | $27K |
| 0011A | <1% | 817 | $23K | |
| 90648 | <1% | 5,441 | $23K | |
| 90656 | <1% | 1,349 | $21K | |
| 90670 | <1% | 5,033 | $20K | |
| 90688 | <1% | 1,308 | $18K | |
| 90651 | <1% | 3,185 | $17K | |
| 99442 | <1% | 948 | $16K | |
| 90723 | <1% | 3,413 | $13K | |
| 90680 | <1% | 2,979 | $12K | |
| 90734 | <1% | 2,676 | $11K | |
| 59025 | Fetal non-stress test | <1% | 387 | $10K |
| 90677 | <1% | 444 | $10K | |
| 0002A | <1% | 251 | $9K | |
| 0001A | <1% | 227 | $8K | |
| 0124A | <1% | 244 | $8K | |
| 90480 | <1% | 273 | $8K | |
| 90715 | <1% | 945 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,255 | $8K |
| 90633 | <1% | 1,821 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 126 | $6K |
| 80305 | <1% | 517 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 375 | $5K |
| 82947 | <1% | 1,616 | $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 | <1% | 402 | $5K |
| 90672 | <1% | 201 | $5K | |
| 90620 | <1% | 918 | $4K | |
| 91322 | <1% | 71 | $4K | |
| 99201 | <1% | 152 | $4K | |
| 0054A | <1% | 118 | $3K | |
| 82962 | <1% | 1,953 | $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 | <1% | 72 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 62 | $2K |
| 97162 | <1% | 50 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 148 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 97 | $2K |
| 99441 | <1% | 267 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 42 | $2K |
| 99460 | <1% | 28 | $2K | |
| 0071A | <1% | 48 | $2K | |
| 0004A | <1% | 70 | $2K | |
| 99383 | <1% | 31 | $2K | |
| 81025 | <1% | 252 | $1K | |
| 90710 | <1% | 361 | $1K | |
| 90696 | <1% | 336 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $1K |
| D1351 | Sealant - per tooth | <1% | 172 | $980.76 |
| 94200 | <1% | 58 | $869.22 | |
| 90746 | <1% | 13 | $818.50 | |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $794.01 |
| 36416 | <1% | 951 | $725.66 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $660.22 |
| 81002 | <1% | 238 | $636.03 | |
| 0074A | <1% | 29 | $610.56 | |
| 90716 | <1% | 215 | $584.51 | |
| 90685 | <1% | 168 | $553.09 | |
| 90707 | <1% | 160 | $524.52 | |
| 90660 | <1% | 35 | $450.00 | |
| 0121A | <1% | 12 | $449.76 | |
| 90700 | <1% | 142 | $424.91 | |
| 92551 | <1% | 6,986 | $373.93 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 115 | $334.86 |
| 90653 | <1% | 17 | $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 | <1% | 149 | $312.34 |
| 99173 | <1% | 5,008 | $279.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,497 | $271.22 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $261.64 |
| 85018 | <1% | 119 | $253.83 | |
| 96380 | <1% | 27 | $240.00 | |
| 97116 | <1% | 21 | $227.56 | |
| 11721 | <1% | 16 | $150.50 | |
| 81003 | <1% | 86 | $91.68 | |
| 90694 | <1% | 57 | $80.00 | |
| 97010 | <1% | 607 | $62.08 | |
| G0008 | Administration of influenza virus vaccine | <1% | 416 | $40.01 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,555 | $24.29 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 30 | $2.17 |
| 3079F | 0% | 1,028 | $0.00 | |
| 3074F | 0% | 12,963 | $0.00 | |
| D1330 | 0% | 4,501 | $0.00 | |
| 90474 | 0% | 37 | $0.00 | |
| 3008F | 0% | 4,001 | $0.00 | |
| D0603 | 0% | 666 | $0.00 | |
| 3075F | 0% | 85 | $0.00 | |
| 91315 | 0% | 13 | $0.00 | |
| 91301 | 0% | 12 | $0.00 | |
| 3078F | 0% | 12,073 | $0.00 | |
| 90461 | 0% | 809 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,696 | $0.00 |
| 3077F | 0% | 214 | $0.00 | |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 28 | $0.00 |
| 91300 | 0% | 140 | $0.00 | |
| 90473 | 0% | 44 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 23 | $0.00 |
| 91312 | 0% | 12 | $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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.