NPI: 1164501896 · CICERO, IL 60804 · 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 | 31,924 | $1.30M |
| 2019 | 58,798 | $1.76M |
| 2020 | 54,273 | $2.10M |
| 2021 | 51,446 | $2.04M |
| 2022 | 37,908 | $1.19M |
| 2023 | 23,778 | $860K |
| 2024 | 5,225 | $338K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 76,579 | 53,451 | $9.48M |
| 99000 | 1,389 | 1,301 | $33K | |
| 90651 | 1,778 | 1,553 | $13K | |
| 90670 | 2,476 | 2,033 | $12K | |
| 90734 | 1,416 | 1,298 | $11K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 140 | 111 | $7K |
| 0011A | 110 | 110 | $5K | |
| 0012A | 98 | 98 | $4K | |
| 0001A | 81 | 81 | $3K | |
| 90698 | 1,813 | 1,502 | $2K | |
| 90633 | 1,432 | 1,204 | $2K | |
| 90716 | 589 | 481 | $1K | |
| 90744 | 1,369 | 1,145 | $1K | |
| 90686 | 5,159 | 4,613 | $1K | |
| 90688 | 207 | 161 | $800.88 | |
| 90680 | 1,622 | 1,360 | $763.85 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28,191 | 21,629 | $510.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 27 | 25 | $502.20 |
| 90715 | 898 | 811 | $497.22 | |
| 90707 | 552 | 464 | $436.04 | |
| 90700 | 415 | 352 | $265.60 | |
| 1126F | 20,552 | 16,156 | $264.00 | |
| 3074F | 15,534 | 11,050 | $253.00 | |
| 3078F | 14,442 | 10,475 | $225.00 | |
| 90648 | 345 | 265 | $208.65 | |
| 3079F | 3,867 | 3,048 | $55.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 937 | 769 | $46.00 |
| 1125F | 2,490 | 2,052 | $31.00 | |
| 81025 | 2,065 | 1,728 | $30.00 | |
| 3075F | 1,956 | 1,588 | $21.00 | |
| 81002 | 648 | 544 | $20.00 | |
| 3077F | 1,298 | 1,030 | $18.00 | |
| 90685 | 249 | 177 | $6.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14,265 | 11,486 | $6.00 |
| 86580 | 1,385 | 1,150 | $2.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 683 | 546 | $1.00 |
| S5190 | Wellness assessment, performed by non-physician | 392 | 363 | $0.05 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,711 | 2,339 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4,310 | 3,674 | $0.00 |
| 99381 | 185 | 178 | $0.00 | |
| 3080F | 357 | 305 | $0.00 | |
| 82962 | 270 | 230 | $0.00 | |
| 90696 | 222 | 210 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,293 | 1,197 | $0.00 |
| 0500F | 241 | 214 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,132 | 1,031 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 30 | 28 | $0.00 |
| 99385 | 12 | 12 | $0.00 | |
| 99384 | 13 | 13 | $0.00 | |
| 90656 | 85 | 85 | $0.00 | |
| 85018 | 13 | 12 | $0.00 | |
| 99383 | 18 | 17 | $0.00 | |
| 90461 | 7,639 | 3,538 | $0.00 | |
| 0502F | 4,468 | 2,546 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,876 | 1,336 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,709 | 2,299 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 681 | 560 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13,439 | 8,666 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,551 | 3,239 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1,018 | 902 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 92 | 78 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,696 | 3,141 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 510 | 459 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,259 | 2,909 | $0.00 |
| 1159F | 105 | 96 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,682 | 1,535 | $0.00 |
| 90710 | 164 | 141 | $0.00 | |
| 1160F | 105 | 96 | $0.00 | |
| 90713 | 17 | 17 | $0.00 |