NPI: 1194803213 · CHICAGO, IL 60623 · 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 | 11,595 | $509K |
| 2019 | 23,415 | $807K |
| 2020 | 20,415 | $851K |
| 2021 | 16,385 | $719K |
| 2022 | 9,480 | $317K |
| 2023 | 9,509 | $401K |
| 2024 | 2,139 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 29,858 | 21,088 | $3.76M |
| 90651 | 728 | 635 | $4K | |
| 90734 | 499 | 469 | $885.91 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11,436 | 8,395 | $550.44 |
| 90686 | 2,768 | 2,444 | $517.58 | |
| 90670 | 514 | 428 | $224.31 | |
| 90698 | 512 | 418 | $192.67 | |
| 1126F | 8,173 | 6,521 | $116.00 | |
| 90688 | 24 | 17 | $114.80 | |
| 90715 | 402 | 369 | $99.10 | |
| 3074F | 4,478 | 3,130 | $96.00 | |
| 3078F | 4,367 | 3,061 | $96.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,486 | 1,154 | $61.00 |
| 1125F | 1,381 | 1,122 | $37.00 | |
| 90633 | 142 | 117 | $32.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 471 | 417 | $10.00 |
| 90620 | 41 | 36 | $6.40 | |
| 81025 | 412 | 337 | $6.00 | |
| 3079F | 294 | 231 | $3.00 | |
| 85018 | 564 | 470 | $2.32 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 643 | 533 | $1.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,577 | 1,251 | $0.00 |
| 3075F | 110 | 92 | $0.00 | |
| 90656 | 40 | 40 | $0.00 | |
| 90744 | 49 | 44 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 512 | 464 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 35 | 24 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 76 | 74 | $0.00 |
| 90461 | 3,191 | 1,373 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,252 | 1,080 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,006 | 1,769 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6,236 | 4,276 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2,141 | 1,857 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,905 | 3,898 | $0.00 |
| 0502F | 950 | 528 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 164 | 156 | $0.00 |
| 81002 | 211 | 168 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 112 | 86 | $0.00 |
| 90621 | 70 | 66 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 31 | 29 | $0.00 |
| 90681 | 12 | 12 | $0.00 | |
| 90685 | 65 | 43 | $0.00 |