NPI: 1114005337 · BLUE ISLAND, IL 60406 · 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 | 37,987 | $1.51M |
| 2019 | 82,810 | $2.14M |
| 2020 | 58,219 | $2.08M |
| 2021 | 54,601 | $1.96M |
| 2022 | 39,952 | $1.21M |
| 2023 | 37,232 | $1.27M |
| 2024 | 12,026 | $670K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 87,757 | 57,946 | $10.79M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 292 | 174 | $13K |
| 90651 | 1,777 | 1,493 | $6K | |
| 90734 | 1,272 | 1,093 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 130 | 125 | $4K |
| 90710 | 657 | 527 | $3K | |
| 0011A | 60 | 60 | $3K | |
| 0012A | 51 | 51 | $2K | |
| 90633 | 2,138 | 1,773 | $2K | |
| 90698 | 3,103 | 2,482 | $1K | |
| 90620 | 72 | 49 | $1K | |
| 90670 | 3,126 | 2,521 | $1K | |
| 90715 | 1,697 | 1,458 | $910.45 | |
| 90716 | 612 | 503 | $736.10 | |
| 90696 | 530 | 410 | $568.13 | |
| 90686 | 4,439 | 3,816 | $551.63 | |
| 90744 | 1,741 | 1,424 | $503.47 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28,955 | 20,990 | $240.00 |
| 90713 | 22 | 13 | $235.36 | |
| 90681 | 1,230 | 971 | $234.90 | |
| 90707 | 545 | 451 | $213.02 | |
| 1126F | 29,309 | 22,488 | $166.00 | |
| 3074F | 21,747 | 14,317 | $162.00 | |
| 3078F | 18,165 | 12,247 | $151.00 | |
| 90688 | 89 | 81 | $102.00 | |
| 3079F | 7,458 | 5,540 | $68.00 | |
| 3077F | 3,025 | 2,294 | $42.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,043 | 2,938 | $40.00 |
| 1125F | 5,768 | 4,520 | $34.00 | |
| 3075F | 3,176 | 2,502 | $22.00 | |
| 81025 | 3,065 | 2,516 | $19.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,838 | 1,494 | $14.00 |
| 82962 | 181 | 139 | $10.00 | |
| 3080F | 2,328 | 1,776 | $7.00 | |
| 81002 | 5,812 | 4,000 | $3.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14,734 | 11,710 | $1.00 |
| 59430 | 133 | 98 | $1.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4,541 | 3,794 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3,640 | 2,879 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,711 | 1,441 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14,031 | 8,997 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4,015 | 3,426 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,555 | 1,021 | $0.00 |
| 0502F | 7,760 | 4,344 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 623 | 528 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1,572 | 1,369 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 712 | 575 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,095 | 2,647 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 267 | 233 | $0.00 |
| 99215 | Prolong outpt/office vis | 171 | 159 | $0.00 |
| 90461 | 9,466 | 4,390 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 152 | 127 | $0.00 |
| 90685 | 310 | 259 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 13 | 13 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 51 | 28 | $0.00 |
| 99382 | 12 | 12 | $0.00 | |
| 0500F | 757 | 682 | $0.00 | |
| 99381 | 455 | 398 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,902 | 1,605 | $0.00 |
| 99385 | 183 | 152 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 96 | 80 | $0.00 |
| 99384 | 141 | 108 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 12 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,639 | 1,509 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,361 | 1,888 | $0.00 |
| 99386 | 36 | 30 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 112 | 110 | $0.00 |
| 90677 | 60 | 42 | $0.00 | |
| 90656 | 127 | 127 | $0.00 | |
| 99383 | 172 | 140 | $0.00 |