NPI: 1023047164 · ZION, IL 60099 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,124 | $521K |
| 2019 | 24,691 | $851K |
| 2020 | 22,479 | $982K |
| 2021 | 30,261 | $1.33M |
| 2022 | 25,937 | $1.12M |
| 2023 | 18,842 | $1.07M |
| 2024 | 19,034 | $1.26M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 49,938 | 38,269 | $7.00M |
| T1040 | Comm bh clinic svc per diem | 985 | 686 | $66K |
| D0999 | 279 | 266 | $41K | |
| 90651 | 3,087 | 2,597 | $8K | |
| 90734 | 2,203 | 1,847 | $5K | |
| 99214 | 7,200 | 5,507 | $2K | |
| 90670 | 5,691 | 4,343 | $1K | |
| 90710 | 1,141 | 958 | $1K | |
| 96110 | 3,935 | 3,220 | $1K | |
| 90633 | 3,845 | 3,062 | $858.35 | |
| 99213 | 11,494 | 9,411 | $855.34 | |
| 90686 | 6,567 | 5,633 | $811.43 | |
| 90698 | 3,017 | 2,209 | $736.02 | |
| 90620 | 1,523 | 1,363 | $715.00 | |
| 90680 | 1,428 | 1,077 | $518.05 | |
| 90715 | 1,509 | 1,241 | $410.59 | |
| 90716 | 1,473 | 1,152 | $371.25 | |
| 99395 | 1,260 | 1,201 | $298.15 | |
| 90696 | 911 | 770 | $296.19 | |
| 90744 | 1,865 | 1,370 | $241.80 | |
| 90707 | 1,299 | 1,056 | $219.16 | |
| 96127 | 945 | 934 | $102.20 | |
| 99212 | 7,223 | 6,124 | $98.40 | |
| 87880 | 216 | 204 | $62.80 | |
| 90685 | 156 | 86 | $51.87 | |
| 87804 | 221 | 212 | $46.95 | |
| 99396 | 479 | 469 | $42.50 | |
| 99391 | 2,931 | 2,317 | $32.15 | |
| 99394 | 2,282 | 1,975 | $32.15 | |
| 90832 | 3,548 | 2,221 | $29.48 | |
| 81025 | 556 | 488 | $5.16 | |
| 82962 | 1,324 | 1,014 | $3.65 | |
| 99393 | 2,807 | 2,399 | $0.00 | |
| 90681 | 1,230 | 1,031 | $0.00 | |
| 99392 | 3,421 | 2,732 | $0.00 | |
| 99201 | 1,209 | 915 | $0.00 | |
| 99173 | 199 | 198 | $0.00 | |
| 90700 | 752 | 617 | $0.00 | |
| 81002 | 1,255 | 1,043 | $0.00 | |
| 90791 | 169 | 147 | $0.00 | |
| D0274 | 32 | 32 | $0.00 | |
| 0502F | 26 | 15 | $0.00 | |
| 90713 | 73 | 64 | $0.00 | |
| D1120 | 72 | 72 | $0.00 | |
| 91321 | 50 | 46 | $0.00 | |
| 90380 | 13 | 12 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 29 | 28 | $0.00 |
| D0330 | 12 | 12 | $0.00 | |
| D0220 | 12 | 12 | $0.00 | |
| 90647 | 2,422 | 1,969 | $0.00 | |
| 99383 | 29 | 29 | $0.00 | |
| 87426 | 126 | 115 | $0.00 | |
| 90677 | 413 | 386 | $0.00 | |
| D1206 | 53 | 53 | $0.00 | |
| 90723 | 2,326 | 1,935 | $0.00 | |
| 99385 | 34 | 34 | $0.00 | |
| 99202 | 1,206 | 1,090 | $0.00 | |
| 99381 | 363 | 351 | $0.00 | |
| 90471 | 804 | 656 | $0.00 | |
| 90619 | 578 | 468 | $0.00 | |
| 90656 | 415 | 374 | $0.00 | |
| D0272 | 13 | 13 | $0.00 | |
| D0120 | 96 | 96 | $0.00 | |
| 92250 | 28 | 28 | $0.00 | |
| S5190 | Wellness assessment by nonph | 451 | 433 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 21 | 21 | $0.00 |
| 83036 | 30 | 30 | $0.00 | |
| D0150 | 40 | 40 | $0.00 | |
| 36415 | 28 | 26 | $0.00 |