AUNT MARTHA'S YOUTH SERVICE CENTER
NPI: 1174070676
· BLUE ISLAND, IL 60406
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/01/2016
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | PENNINGTON, AUDREY (EXECUTIVE VP OF HEALTH) |
| NPI Enumeration Date | 09/01/2016 |
Related Entities
Other providers sharing the same authorized official: PENNINGTON, AUDREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
285 |
$17K |
| 2019 |
624 |
$38K |
| 2020 |
461 |
$30K |
| 2021 |
634 |
$48K |
| 2022 |
471 |
$42K |
| 2023 |
38 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,281 |
925 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
796 |
$1.00 |
| 96127 |
|
196 |
159 |
$0.00 |