NPI: 1174552293 · WAUKEGAN, IL 60085 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 53,726 | $2.33M |
| 2019 | 98,470 | $2.98M |
| 2020 | 62,576 | $3.00M |
| 2021 | 59,149 | $3.12M |
| 2022 | 47,013 | $2.70M |
| 2023 | 32,705 | $1.95M |
| 2024 | 42,544 | $2.64M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 133,102 | 94,744 | $17.74M |
| D0999 | 6,185 | 5,468 | $724K | |
| T1040 | Comm bh clinic svc per diem | 1,541 | 1,151 | $105K |
| 90651 | 3,184 | 2,536 | $26K | |
| 90734 | 2,098 | 1,572 | $20K | |
| 90710 | 1,683 | 1,171 | $15K | |
| 90620 | 1,610 | 1,353 | $9K | |
| 90670 | 8,092 | 5,745 | $8K | |
| H2000 | Comp multidisipln evaluation | 91 | 52 | $7K |
| 99213 | 26,712 | 21,890 | $7K | |
| 90686 | 12,796 | 10,654 | $5K | |
| 90633 | 5,052 | 3,737 | $4K | |
| 99214 | 15,595 | 13,583 | $4K | |
| 90696 | 1,513 | 1,034 | $4K | |
| 96110 | 12,787 | 9,927 | $4K | |
| 90716 | 2,414 | 1,733 | $4K | |
| 90715 | 3,512 | 2,927 | $3K | |
| 90698 | 5,492 | 3,816 | $3K | |
| 90832 | 8,558 | 5,055 | $2K | |
| 90791 | 1,543 | 1,318 | $2K | |
| 0502F | 21,403 | 12,053 | $2K | |
| 90707 | 2,329 | 1,631 | $2K | |
| 99212 | 13,567 | 11,054 | $1K | |
| 90685 | 927 | 704 | $805.06 | |
| 0500F | 2,295 | 2,142 | $778.82 | |
| 99391 | 8,839 | 6,647 | $717.74 | |
| 99395 | 3,002 | 2,660 | $660.60 | |
| 90723 | 2,484 | 1,983 | $601.88 | |
| 99396 | 629 | 574 | $595.00 | |
| 90744 | 3,320 | 2,363 | $513.72 | |
| 90680 | 3,447 | 2,443 | $513.47 | |
| 99393 | 5,116 | 4,377 | $417.95 | |
| 90656 | 984 | 903 | $328.88 | |
| 99394 | 4,126 | 3,607 | $321.50 | |
| 99392 | 8,671 | 6,642 | $270.77 | |
| 81002 | 22,587 | 14,604 | $179.33 | |
| 90700 | 1,063 | 827 | $177.28 | |
| 92227 | 77 | 38 | $158.16 | |
| J1050 | Medroxyprogesterone acetate | 42 | 36 | $146.16 |
| 96127 | 1,208 | 1,178 | $146.00 | |
| 90792 | 236 | 200 | $124.44 | |
| 99381 | 1,954 | 1,748 | $124.05 | |
| 81025 | 3,762 | 2,979 | $118.78 | |
| 59430 | 56 | 33 | $100.30 | |
| 87880 | 646 | 546 | $78.50 | |
| 90682 | 185 | 147 | $54.00 | |
| 90648 | 76 | 72 | $44.90 | |
| 99215 | Prolong outpt/office vis | 148 | 129 | $44.10 |
| 90471 | 5,160 | 4,382 | $32.36 | |
| 99202 | 867 | 581 | $32.00 | |
| 96372 | 362 | 295 | $29.43 | |
| G8431 | Pos clin depres scrn f/u doc | 78 | 73 | $29.20 |
| 87804 | 574 | 479 | $15.65 | |
| 82962 | 1,308 | 933 | $8.40 | |
| D0220 | 1,828 | 1,765 | $0.00 | |
| 99203 | 237 | 216 | $0.00 | |
| 99204 | 12 | 12 | $0.00 | |
| 90681 | 1,567 | 1,243 | $0.00 | |
| 99201 | 1,032 | 657 | $0.00 | |
| 91322 | 45 | 45 | $0.00 | |
| D1120 | 1,436 | 1,371 | $0.00 | |
| 90713 | 67 | 56 | $0.00 | |
| 91321 | 190 | 176 | $0.00 | |
| D1110 | 152 | 134 | $0.00 | |
| D0274 | 256 | 232 | $0.00 | |
| 87210 | 109 | 67 | $0.00 | |
| 59025 | 76 | 57 | $0.00 | |
| A4267 | Male condom | 48 | 37 | $0.00 |
| 99173 | 131 | 115 | $0.00 | |
| 90662 | 13 | 13 | $0.00 | |
| 90472 | 69 | 58 | $0.00 | |
| D2391 | 18 | 12 | $0.00 | |
| D0230 | 973 | 924 | $0.00 | |
| D1208 | 266 | 245 | $0.00 | |
| 0503F | 673 | 516 | $0.00 | |
| D1206 | 879 | 841 | $0.00 | |
| 90647 | 2,668 | 2,097 | $0.00 | |
| D0140 | 680 | 661 | $0.00 | |
| 90834 | 93 | 83 | $0.00 | |
| D0210 | 327 | 309 | $0.00 | |
| 36415 | 345 | 326 | $0.00 | |
| D1330 | 1,293 | 1,148 | $0.00 | |
| D0150 | 1,123 | 1,084 | $0.00 | |
| 90677 | 1,000 | 906 | $0.00 | |
| D0272 | 264 | 252 | $0.00 | |
| D0120 | 1,716 | 1,633 | $0.00 | |
| 90381 | 76 | 66 | $0.00 | |
| Q3014 | Telehealth facility fee | 154 | 149 | $0.00 |
| 93000 | 59 | 50 | $0.00 | |
| 99383 | 109 | 95 | $0.00 | |
| 99384 | 12 | 12 | $0.00 | |
| 96156 | 32 | 32 | $0.00 | |
| 90619 | 618 | 593 | $0.00 | |
| 87426 | 33 | 31 | $0.00 | |
| S5190 | Wellness assessment by nonph | 228 | 225 | $0.00 |
| G8510 | Scr dep neg, no plan reqd | 50 | 48 | $0.00 |
| D7140 | 37 | 29 | $0.00 | |
| 58300 | 17 | 12 | $0.00 | |
| D1351 | 50 | 24 | $0.00 | |
| 99385 | 13 | 13 | $0.00 | |
| CGSMG | 21 | 21 | $0.00 |