NPI: 1275605792 · CHICAGO, IL 60609 · 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 | 21,841 | $840K |
| 2019 | 42,069 | $1.08M |
| 2020 | 31,048 | $1.17M |
| 2021 | 27,280 | $1.05M |
| 2022 | 21,135 | $675K |
| 2023 | 21,698 | $724K |
| 2024 | 4,137 | $239K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 48,295 | 34,686 | $5.76M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 198 | 133 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 90 | 88 | $3K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19,772 | 15,229 | $410.12 |
| 3078F | 12,826 | 9,196 | $372.00 | |
| 3074F | 14,299 | 10,284 | $365.00 | |
| 90681 | 14 | 13 | $341.85 | |
| 90723 | 42 | 42 | $306.23 | |
| 1126F | 17,198 | 13,420 | $241.00 | |
| 90670 | 442 | 362 | $211.51 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,812 | 4,623 | $182.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,884 | 1,505 | $96.71 |
| 90633 | 157 | 122 | $96.09 | |
| 90648 | 110 | 95 | $69.55 | |
| 81025 | 3,370 | 2,774 | $58.16 | |
| 3077F | 3,232 | 2,601 | $46.00 | |
| 3080F | 2,385 | 1,937 | $36.00 | |
| 3079F | 4,955 | 3,990 | $35.00 | |
| 3075F | 2,546 | 2,102 | $32.00 | |
| 1125F | 3,944 | 3,151 | $16.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,683 | 3,778 | $3.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 3,091 | 1,829 | $1.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 847 | 720 | $1.00 |
| 90686 | 1,377 | 1,245 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 850 | 759 | $0.00 |
| 90651 | 349 | 321 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 484 | 415 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,373 | 1,207 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 61 | 47 | $0.00 |
| 82962 | 107 | 90 | $0.00 | |
| 90688 | 78 | 68 | $0.00 | |
| 90698 | 39 | 36 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,128 | 1,056 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 58 | 52 | $0.00 |
| 90696 | 13 | 13 | $0.00 | |
| 81002 | 1,427 | 1,077 | $0.00 | |
| 90715 | 415 | 391 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 957 | 871 | $0.00 |
| 0502F | 1,794 | 1,080 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 907 | 810 | $0.00 |
| 99215 | Prolong outpt/office vis | 220 | 189 | $0.00 |
| 90461 | 1,787 | 774 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 253 | 216 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,479 | 2,168 | $0.00 |
| 90734 | 213 | 207 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 135 | 132 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 283 | 252 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 717 | 657 | $0.00 |
| 90710 | 26 | 26 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 426 | 381 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31 | 27 | $0.00 |
| 90746 | 12 | 12 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 17 | 13 | $0.00 |