NPI: 1255646857 · BERWYN, IL 60402 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,854 | $614K |
| 2019 | 17,405 | $762K |
| 2020 | 14,148 | $758K |
| 2021 | 12,430 | $721K |
| 2022 | 11,228 | $757K |
| 2023 | 14,163 | $1.03M |
| 2024 | 14,811 | $949K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 39,111 | 31,038 | $5.45M |
| T1040 | Comm bh clinic svc per diem | 1,115 | 888 | $57K |
| D0999 | 277 | 246 | $29K | |
| 0001A | 244 | 202 | $10K | |
| 0002A | 220 | 189 | $9K | |
| 0012A | 182 | 126 | $7K | |
| 90651 | 769 | 666 | $6K | |
| 0011A | 110 | 96 | $4K | |
| 90734 | 390 | 331 | $3K | |
| 90480 | 49 | 49 | $2K | |
| 90670 | 731 | 645 | $2K | |
| 0072A | 37 | 36 | $2K | |
| 0071A | 38 | 36 | $2K | |
| 90686 | 1,997 | 1,718 | $947.52 | |
| 90658 | 501 | 437 | $637.64 | |
| 0064A | 15 | 15 | $632.10 | |
| 99213 | 12,453 | 10,703 | $535.35 | |
| 90633 | 407 | 353 | $524.83 | |
| 90710 | 46 | 40 | $461.00 | |
| 90715 | 316 | 295 | $373.47 | |
| 99393 | 2,393 | 2,164 | $368.36 | |
| 90723 | 109 | 103 | $230.92 | |
| 90648 | 299 | 270 | $149.76 | |
| 90471 | 5,873 | 5,033 | $146.00 | |
| 90680 | 304 | 283 | $127.74 | |
| 90832 | 1,187 | 843 | $119.00 | |
| 99214 | 6,096 | 5,466 | $111.00 | |
| 90688 | 265 | 255 | $80.84 | |
| 99212 | 1,532 | 1,396 | $66.03 | |
| 90837 | 590 | 414 | $57.00 | |
| 90696 | 35 | 29 | $56.67 | |
| 0502F | 1,829 | 1,050 | $55.00 | |
| 99394 | 1,747 | 1,582 | $54.00 | |
| 99392 | 2,147 | 1,948 | $43.00 | |
| 90698 | 57 | 48 | $38.40 | |
| 90472 | 2,016 | 1,700 | $38.00 | |
| 90791 | 608 | 484 | $35.00 | |
| 99391 | 1,460 | 1,304 | $22.00 | |
| 96110 | 385 | 341 | $16.07 | |
| 99201 | 303 | 288 | $16.00 | |
| 90834 | 724 | 553 | $15.00 | |
| 81000 | 615 | 275 | $5.24 | |
| 99395 | 450 | 433 | $0.00 | |
| 90460 | 820 | 815 | $0.00 | |
| 87880 | 265 | 228 | $0.00 | |
| 82948 | 359 | 306 | $0.00 | |
| 3078F | 236 | 228 | $0.00 | |
| 90461 | 77 | 77 | $0.00 | |
| 90473 | 146 | 135 | $0.00 | |
| 99396 | 354 | 342 | $0.00 | |
| 99215 | Prolong outpt/office vis | 90 | 68 | $0.00 |
| 3077F | 83 | 78 | $0.00 | |
| 81025 | 111 | 108 | $0.00 | |
| 1160F | 16 | 16 | $0.00 | |
| 99203 | 16 | 16 | $0.00 | |
| 1159F | 15 | 15 | $0.00 | |
| D1120 | 12 | 12 | $0.00 | |
| 81002 | 17 | 12 | $0.00 | |
| 4010F | 85 | 80 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 12 | 12 | $0.00 |
| 3074F | 183 | 178 | $0.00 | |
| 87081 | 294 | 273 | $0.00 | |
| 90677 | 112 | 109 | $0.00 | |
| 3075F | 81 | 80 | $0.00 | |
| 83036 | 73 | 72 | $0.00 | |
| 85018 | 363 | 305 | $0.00 | |
| 90792 | 127 | 127 | $0.00 | |
| 1036F | 353 | 339 | $0.00 | |
| 90620 | 49 | 49 | $0.00 | |
| 2000F | 245 | 229 | $0.00 | |
| 90619 | 80 | 77 | $0.00 | |
| 3079F | 117 | 112 | $0.00 | |
| 90656 | 132 | 127 | $0.00 | |
| 3008F | 997 | 926 | $0.00 | |
| 1126F | 47 | 47 | $0.00 | |
| 96127 | 40 | 39 | $0.00 |