NPI: 1104905702 · MELROSE PARK, IL 60160 · Federally Qualified Health Center (FQHC) · NPI assigned 11/03/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/03/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,390 | $705K |
| 2019 | 39,085 | $1.24M |
| 2020 | 40,244 | $1.53M |
| 2021 | 34,385 | $1.38M |
| 2022 | 19,939 | $503K |
| 2023 | 29,136 | $938K |
| 2024 | 7,330 | $409K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 55,852 | 38,062 | $6.62M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 591 | 347 | $25K |
| 90651 | 1,832 | 1,520 | $22K | |
| 99000 | 797 | 766 | $19K | |
| 90734 | 1,317 | 1,111 | $6K | |
| 90633 | 1,268 | 1,084 | $2K | |
| 90670 | 1,880 | 1,586 | $2K | |
| 90716 | 336 | 299 | $1K | |
| 90686 | 4,105 | 3,441 | $1K | |
| 90715 | 902 | 726 | $685.99 | |
| 90707 | 302 | 269 | $502.84 | |
| 90723 | 1,360 | 1,139 | $438.42 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18,964 | 14,181 | $322.10 |
| 90648 | 1,850 | 1,557 | $304.56 | |
| 3074F | 9,661 | 6,352 | $115.00 | |
| 3079F | 4,554 | 3,404 | $98.00 | |
| 3078F | 7,802 | 5,216 | $60.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,565 | 3,516 | $52.00 |
| 1126F | 8,817 | 6,985 | $36.00 | |
| 3075F | 2,007 | 1,496 | $23.00 | |
| 3077F | 1,459 | 1,083 | $22.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,564 | 2,895 | $19.03 |
| 99215 | Prolong outpt/office vis | 531 | 419 | $14.00 |
| 36415 | Collection of venous blood by venipuncture | 932 | 849 | $12.30 |
| 3080F | 604 | 450 | $12.00 | |
| 81002 | 2,910 | 2,004 | $11.60 | |
| 81025 | 2,739 | 2,254 | $10.74 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6,046 | 4,505 | $10.00 |
| 1125F | 781 | 575 | $8.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3,086 | 2,416 | $8.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 278 | 213 | $3.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 260 | 206 | $2.00 |
| 85018 | 24 | 24 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 758 | 641 | $0.00 |
| 86580 | 277 | 249 | $0.00 | |
| 99384 | 152 | 142 | $0.00 | |
| 0500F | 174 | 164 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 44 | 44 | $0.00 |
| 90656 | 123 | 123 | $0.00 | |
| 90696 | 180 | 158 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,268 | 1,852 | $0.00 |
| 99383 | 194 | 182 | $0.00 | |
| 99381 | 113 | 92 | $0.00 | |
| 59430 | 53 | 45 | $0.00 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 13 | 13 | $0.00 |
| 90688 | 63 | 47 | $0.00 | |
| 90461 | 3,560 | 1,965 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,249 | 2,651 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 790 | 703 | $0.00 |
| 90681 | 532 | 427 | $0.00 | |
| 0502F | 2,932 | 1,654 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10,470 | 7,415 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,411 | 1,980 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,998 | 1,638 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,283 | 1,790 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,886 | 1,200 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 363 | 339 | $0.00 |
| 99382 | 43 | 38 | $0.00 | |
| 90685 | 237 | 176 | $0.00 | |
| 90700 | 64 | 64 | $0.00 | |
| 90710 | 163 | 139 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 26 | 25 | $0.00 |
| 90671 | 91 | 56 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 23 | 12 | $0.00 |