NPI: 1205908720 · CHICAGO, IL 60623 · Federally Qualified Health Center (FQHC) · NPI assigned 11/14/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/14/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48,622 | $1.85M |
| 2019 | 98,673 | $2.63M |
| 2020 | 70,212 | $2.56M |
| 2021 | 58,026 | $2.10M |
| 2022 | 46,640 | $1.43M |
| 2023 | 47,774 | $1.56M |
| 2024 | 9,522 | $562K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 105,177 | 67,107 | $12.66M |
| 90651 | 1,914 | 1,607 | $8K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 127 | 69 | $5K |
| 90734 | 1,579 | 1,311 | $4K | |
| 90686 | 8,250 | 6,908 | $3K | |
| 90716 | 389 | 296 | $1K | |
| 0124A | 31 | 31 | $1K | |
| 90633 | 1,397 | 1,117 | $1K | |
| 90620 | 137 | 123 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 36 | 35 | $1K |
| 90707 | 349 | 269 | $1K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43,143 | 29,916 | $903.62 |
| 90715 | 1,555 | 1,284 | $851.27 | |
| 90680 | 1,647 | 1,268 | $755.09 | |
| 3074F | 22,914 | 14,920 | $570.00 | |
| 3078F | 22,839 | 14,902 | $537.00 | |
| 1126F | 45,251 | 31,796 | $528.00 | |
| 90670 | 2,529 | 1,973 | $468.82 | |
| 90621 | 26 | 26 | $345.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,000 | 9,167 | $298.00 |
| 90698 | 967 | 759 | $277.74 | |
| 90696 | 361 | 284 | $266.21 | |
| 90744 | 500 | 395 | $254.46 | |
| 90723 | 382 | 298 | $158.73 | |
| 1125F | 7,409 | 5,557 | $145.00 | |
| 3079F | 4,522 | 3,400 | $124.00 | |
| 90648 | 991 | 765 | $114.40 | |
| 81002 | 2,903 | 2,407 | $75.00 | |
| 90700 | 97 | 81 | $66.40 | |
| 3077F | 2,272 | 1,673 | $53.00 | |
| 81025 | 4,345 | 3,513 | $53.00 | |
| 3075F | 2,791 | 2,115 | $50.00 | |
| 85018 | 2,265 | 1,859 | $24.64 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16,032 | 10,401 | $21.00 |
| 82962 | 840 | 708 | $17.68 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,580 | 1,229 | $11.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4,131 | 3,416 | $10.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,460 | 2,912 | $10.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,540 | 2,147 | $10.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 720 | 563 | $9.81 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,800 | 2,248 | $1.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13,464 | 10,247 | $1.00 |
| 0502F | 7,094 | 3,682 | $1.00 | |
| 1160F | 331 | 242 | $1.00 | |
| 1159F | 331 | 242 | $1.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2,334 | 1,854 | $1.00 |
| S5190 | Wellness assessment, performed by non-physician | 76 | 74 | $0.01 |
| 90832 | Psychotherapy, 30 minutes with patient | 2,160 | 1,483 | $0.00 |
| 90461 | 6,754 | 3,058 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 577 | 484 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,965 | 3,276 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 560 | 448 | $0.00 |
| 90710 | 349 | 290 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 180 | 72 | $0.00 |
| 99215 | Prolong outpt/office vis | 537 | 441 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 46 | 41 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 26 | 13 | $0.00 |
| 3080F | 362 | 310 | $0.00 | |
| 99381 | 134 | 111 | $0.00 | |
| 86580 | 86 | 56 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3,605 | 2,731 | $0.00 |
| 59430 | 343 | 295 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 2,303 | 2,026 | $0.00 |
| 0500F | 213 | 192 | $0.00 | |
| 90688 | 172 | 155 | $0.00 | |
| 99383 | 13 | 13 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 42 | 35 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 16 | 14 | $0.00 |
| 90697 | 50 | 44 | $0.00 | |
| 90656 | 129 | 129 | $0.00 | |
| 93000 | 19 | 13 | $0.00 |