NPI: 1033289970 · CHICAGO, IL 60608 · Federally Qualified Health Center (FQHC) · NPI assigned 11/08/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/08/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,394 | $789K |
| 2019 | 39,664 | $1.17M |
| 2020 | 31,293 | $1.27M |
| 2021 | 27,201 | $1.08M |
| 2022 | 21,394 | $691K |
| 2023 | 25,433 | $956K |
| 2024 | 5,137 | $326K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 50,660 | 33,827 | $6.21M |
| 0012A | 571 | 549 | $24K | |
| 0011A | 625 | 557 | $23K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 146 | 104 | $7K |
| 0001A | 124 | 124 | $5K | |
| 90651 | 1,017 | 803 | $4K | |
| 90734 | 817 | 685 | $3K | |
| 0002A | 18 | 18 | $758.52 | |
| 90686 | 3,802 | 3,309 | $755.98 | |
| 90698 | 581 | 399 | $731.79 | |
| 90670 | 784 | 548 | $549.58 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21,703 | 15,924 | $352.03 |
| 90680 | 104 | 79 | $331.56 | |
| 90715 | 777 | 684 | $250.70 | |
| 1126F | 16,042 | 12,487 | $149.01 | |
| 3074F | 10,661 | 7,468 | $145.00 | |
| 3078F | 10,092 | 7,151 | $89.01 | |
| 3079F | 2,484 | 1,996 | $73.00 | |
| 1125F | 2,474 | 1,987 | $60.00 | |
| 90633 | 134 | 104 | $32.03 | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,069 | 801 | $31.14 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,617 | 3,535 | $28.01 |
| 81025 | 2,037 | 1,646 | $25.00 | |
| 81002 | 1,826 | 1,407 | $21.00 | |
| 3077F | 871 | 713 | $17.01 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,403 | 1,184 | $15.80 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 478 | 420 | $10.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8,002 | 6,305 | $7.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,547 | 1,304 | $1.01 |
| 3075F | 1,372 | 1,092 | $1.00 | |
| 85018 | 156 | 122 | $1.00 | |
| 86580 | 150 | 130 | $1.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7,932 | 5,091 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 719 | 521 | $0.00 |
| 0502F | 1,420 | 816 | $0.00 | |
| 90461 | 4,135 | 1,588 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,803 | 1,548 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,935 | 1,647 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,260 | 1,001 | $0.00 |
| 90685 | 199 | 177 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 124 | 109 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 37 | 37 | $0.00 |
| 90621 | 62 | 57 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,072 | 959 | $0.00 |
| 90656 | 69 | 69 | $0.00 | |
| 90688 | 74 | 49 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 151 | 125 | $0.00 |
| 90744 | 85 | 68 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,055 | 1,679 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 92 | 77 | $0.00 |
| 3080F | 108 | 78 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 40 | 39 | $0.00 |