Clinic
Sixteenth Street Community Health Centers, INC.
Sixteenth Street Community Health Centers, INC. was paid $3.87M by Medicaid between Aug 2018 and Dec 2024, across 30 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 33% of everything it billed.
33Billing provider infoSIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
MILWAUKEE, WI 53221
MILWAUKEE, WI 53221
33aNPI1821517681assigned 09/13/2017
28Total paid$3.87M
24GClaims70,676
24DCodes billed30
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin
Rank by total paid#13 of 108
Median peer was paid$332K
This provider vs. median12×
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 | 1,600 | $79K | |
| 2019 | 10,455 | $595K | |
| 2020 | 11,204 | $559K | |
| 2021 | 13,903 | $671K | |
| 2022 | 16,618 | $865K | |
| 2023 | 10,591 | $708K | |
| 2024incomplete | 6,305 | $389K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2012 | Behavioral health day treatment, per hour | 33% | 11,822 | 928 | $1.28M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 26% | 8,134 | 5,291 | $1.02M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 15,266 | 10,289 | $615K |
| 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 | 8.6% | 10,876 | 9,130 | $331K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 9,318 | 7,582 | $201K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.8% | 6,138 | 4,437 | $185K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.2% | 1,980 | 1,768 | $122K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,958 | 1,537 | $31K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 407 | 358 | $27K |
| 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% | 783 | 655 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 344 | 291 | $14K |
| 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% | 150 | 92 | $4K |
18 more codes
| 80305 | <1% | 429 | $4K | |
| 90686 | <1% | 280 | $3K | |
| 90688 | <1% | 146 | $3K | |
| 99442 | <1% | 90 | $2K | |
| 90656 | <1% | 64 | $1K | |
| 0124A | <1% | 18 | $534.24 | |
| 82962 | <1% | 296 | $510.41 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 62 | $357.89 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $304.42 |
| 82947 | <1% | 27 | $86.77 | |
| 36416 | <1% | 55 | $38.50 | |
| 3078F | 0% | 641 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 15 | $0.00 |
| 3074F | 0% | 805 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 370 | $0.00 |
| 3079F | 0% | 154 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 3008F | 0% | 17 | $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 | $13.71M |
| 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.