Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sixteenth Street Community Health Centers, Inc. (NPI 1821517681)

Field	Value
Entity Type	Organization
Organization	Sixteenth Street Community Health Centers, Inc.
Address	4570 S 27th St
City	Milwaukee
State	WI
ZIP	53221
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 13, 2017

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	11,820	$110	$1.3M
T1015	Clinic visit/encounter, all-inclusive	8,130	$130	$1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	15,270	$40	$610.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,880	$30	$326.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,320	$20	$205K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,140	$30	$184.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,980	$60	$122.8K
Q3014	Telehealth originating site facility fee	1,960	$20	$31.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	410	$70	$27.3K
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…	780	$30	$21.1K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Sixteenth Street Community Health Centers, Inc. — 3 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	21	60	4,880	$230	$4.9M
H2012	Behavioral health day treatment, per hour	20	50	8,810	$110	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	122	1,630	270	$40	$205.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	140	1,760	250	$40	$173.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	34	790	400	$40	$109.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	144	350	210	$60	$95.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	612	690	160	$60	$90.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	46	170	110	$80	$62.4K
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…	24	40	1,560	$20	$45.1K
Q3014	Telehealth originating site facility fee	33	170	250	$20	$44K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sixteenth Street Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
16th Street Community Health Center Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$16.3M
Sixteenth Street Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$13.8M
16th Street Community Health Center Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$1.5M
Jon Englund	WI	Sports Medicine (Family Medicine) Physician	$69.9K	$0
George Morris	WI	Epilepsy Physician	$28.7K	$0
Christopher Weber	WI	Internal Medicine Physician	$9K	$0

Nearby Providers

Other providers in the same ZIP code as Sixteenth Street Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$0	$11.1M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.6M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M
Advanced Pain Management Sc	WI	Pain Medicine Physician	$0	$3.8M
Best Care Pediatrics LLC	WI	Pediatrics Physician	$0	$2.4M
Informe Healthcare In, LLC	WI	Internal Medicine Physician	$0	$1.4M
Charles Mccanna	WI	Ophthalmology Physician	$1.1M	$0
Ryan Vogel	WI	Retina Specialist (Ophthalmology) Physician	$915.5K	$70.2K
Joshua Agranat	WI	Retina Specialist (Ophthalmology) Physician	$740.9K	$0
Turgut Zia	WI	Internal Medicine Physician	$252.7K	$760

Sixteenth Street Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Sixteenth Street Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References