NPI: 1043398217 · CHICAGO, IL 60609 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18,065 | $698K |
| 2019 | 46,357 | $1.19M |
| 2020 | 46,279 | $1.65M |
| 2021 | 42,828 | $1.65M |
| 2022 | 34,996 | $1.08M |
| 2023 | 29,542 | $997K |
| 2024 | 4,711 | $283K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 61,633 | 41,224 | $7.39M |
| 0011A | 1,109 | 989 | $40K | |
| 0012A | 958 | 887 | $40K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 758 | 439 | $36K |
| 99000 | 1,127 | 1,076 | $26K | |
| 91322 | 12 | 12 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 59 | 59 | $1K |
| 90670 | 1,394 | 1,082 | $1K | |
| 90698 | 736 | 524 | $655.83 | |
| 90651 | 1,117 | 947 | $578.48 | |
| 90480 | 12 | 12 | $523.20 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20,294 | 15,594 | $251.00 |
| 90734 | 513 | 459 | $239.13 | |
| 3074F | 15,342 | 10,113 | $201.00 | |
| 3078F | 13,637 | 8,863 | $198.00 | |
| 90633 | 833 | 689 | $140.92 | |
| 1126F | 21,595 | 16,657 | $134.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,301 | 4,927 | $90.00 |
| 1125F | 4,314 | 3,416 | $81.00 | |
| 3079F | 6,404 | 5,029 | $70.00 | |
| 90715 | 753 | 658 | $68.20 | |
| 3075F | 3,487 | 2,821 | $50.00 | |
| 3077F | 3,830 | 3,008 | $44.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,847 | 1,509 | $30.62 |
| 3080F | 2,685 | 2,206 | $27.00 | |
| 81025 | 3,785 | 3,060 | $20.00 | |
| 90686 | 2,242 | 1,965 | $19.03 | |
| 90688 | 110 | 88 | $17.84 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2,105 | 1,738 | $10.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11,166 | 8,679 | $10.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 905 | 670 | $10.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 69 | 51 | $7.00 |
| 81002 | 2,142 | 1,533 | $7.00 | |
| 90685 | 16 | 12 | $6.40 | |
| 86580 | 89 | 64 | $1.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 3,932 | 2,240 | $0.00 |
| 90461 | 4,597 | 1,859 | $0.00 | |
| 0502F | 1,577 | 925 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 219 | 194 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 142 | 126 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 318 | 69 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2,324 | 2,005 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 623 | 489 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 455 | 411 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,263 | 1,095 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,318 | 996 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7,076 | 4,375 | $0.00 |
| 90681 | 194 | 145 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 251 | 218 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 68 | 55 | $0.00 |
| 90710 | 299 | 261 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 121 | 53 | $0.00 |
| 90671 | 39 | 29 | $0.00 | |
| 99215 | Prolong outpt/office vis | 80 | 68 | $0.00 |
| 90707 | 35 | 31 | $0.00 | |
| 90648 | 13 | 12 | $0.00 | |
| 90700 | 12 | 12 | $0.00 | |
| 90672 | 34 | 31 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,350 | 1,171 | $0.00 |
| 90697 | 203 | 154 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,360 | 1,105 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 334 | 288 | $0.00 |
| 90716 | 32 | 29 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 781 | 719 | $0.00 |
| 96156 | 12 | 12 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| 90744 | 114 | 83 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 12 | 12 | $0.00 |
| 90696 | 81 | 68 | $0.00 | |
| 90620 | 47 | 43 | $0.00 | |
| 90656 | 45 | 45 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 14 | 13 | $0.00 |
| 99386 | 12 | 12 | $0.00 |