NPI: 1295813335 · CHICAGO, IL 60617 · 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 | 11,820 | $528K |
| 2019 | 25,615 | $737K |
| 2020 | 20,606 | $777K |
| 2021 | 20,216 | $815K |
| 2022 | 17,544 | $612K |
| 2023 | 18,774 | $685K |
| 2024 | 3,502 | $243K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 35,974 | 24,279 | $4.39M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 121 | 82 | $7K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 74 | 72 | $722.20 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10,978 | 8,370 | $242.44 |
| 90670 | 600 | 546 | $187.46 | |
| 3074F | 7,968 | 5,671 | $178.00 | |
| 3078F | 7,443 | 5,329 | $134.00 | |
| 90680 | 17 | 14 | $80.53 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,293 | 3,185 | $73.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,268 | 994 | $58.17 |
| 3079F | 3,154 | 2,447 | $55.00 | |
| 1126F | 8,875 | 6,898 | $44.00 | |
| 90715 | 404 | 359 | $32.27 | |
| 90633 | 249 | 231 | $32.03 | |
| 90744 | 203 | 196 | $25.39 | |
| 81025 | 1,899 | 1,563 | $24.00 | |
| 3080F | 1,601 | 1,223 | $22.00 | |
| 3075F | 1,950 | 1,554 | $20.00 | |
| 1125F | 2,100 | 1,652 | $19.00 | |
| 3077F | 2,191 | 1,641 | $13.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5,730 | 4,530 | $2.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 728 | 673 | $0.00 |
| 90686 | 1,387 | 1,261 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 806 | 743 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,791 | 1,619 | $0.00 |
| 90698 | 426 | 390 | $0.00 | |
| 90651 | 573 | 516 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 729 | 628 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 26 | 26 | $0.00 |
| 90716 | 12 | 12 | $0.00 | |
| 90688 | 21 | 19 | $0.00 | |
| 90656 | 40 | 40 | $0.00 | |
| 90696 | 62 | 55 | $0.00 | |
| 99383 | 26 | 26 | $0.00 | |
| 90620 | 25 | 25 | $0.00 | |
| 82962 | 30 | 25 | $0.00 | |
| 90707 | 13 | 13 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 526 | 462 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,929 | 1,316 | $0.00 |
| 0502F | 857 | 518 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 442 | 398 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 116 | 95 | $0.00 |
| 90461 | 2,900 | 1,396 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4,259 | 2,801 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 830 | 765 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 593 | 528 | $0.00 |
| 90710 | 102 | 90 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 890 | 775 | $0.00 |
| 90734 | 241 | 214 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 293 | 277 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 22 | 17 | $0.00 |
| 81002 | 137 | 103 | $0.00 | |
| 99173 | 13 | 13 | $0.00 | |
| 99215 | Prolong outpt/office vis | 54 | 51 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 67 | 52 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 19 | 15 | $0.00 |