NPI: 1306048632 · CHICAGO, IL 60613 · 251S00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,187 | $938K |
| 2019 | 28,968 | $1.73M |
| 2020 | 23,614 | $1.45M |
| 2021 | 30,382 | $2.11M |
| 2022 | 39,676 | $2.71M |
| 2023 | 112,959 | $5.66M |
| 2024 | 110,510 | $5.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 132,143 | 102,111 | $20.02M |
| T1040 | Comm bh clinic svc per diem | 4,256 | 1,916 | $295K |
| D0999 | 393 | 294 | $10K | |
| 0012A | 232 | 172 | $9K | |
| 0011A | 229 | 197 | $8K | |
| 90837 | 3,063 | 1,459 | $5K | |
| 99214 | 42,020 | 38,438 | $4K | |
| 99213 | 44,216 | 38,735 | $4K | |
| 0064A | 77 | 73 | $3K | |
| 90834 | 8,534 | 3,536 | $3K | |
| 0124A | 55 | 45 | $2K | |
| 91322 | 15 | 15 | $2K | |
| 90792 | 1,644 | 1,563 | $2K | |
| 90480 | 27 | 15 | $1K | |
| 99203 | 4,078 | 3,899 | $1K | |
| 0004A | 17 | 17 | $716.38 | |
| 0002A | 16 | 13 | $674.24 | |
| 90853 | 2,627 | 1,120 | $488.42 | |
| 99204 | 3,167 | 3,122 | $443.97 | |
| 99202 | 3,170 | 2,944 | $432.00 | |
| 90791 | 402 | 364 | $370.33 | |
| 99212 | 8,671 | 7,967 | $211.30 | |
| 90636 | 224 | 222 | $199.40 | |
| 90832 | 774 | 583 | $178.59 | |
| 96127 | 10,093 | 9,637 | $172.04 | |
| 99396 | 198 | 195 | $171.30 | |
| 90750 | 468 | 461 | $136.96 | |
| 90686 | 572 | 569 | $117.43 | |
| 90651 | 1,088 | 1,065 | $109.96 | |
| 96372 | 4,155 | 4,009 | $107.91 | |
| 99385 | 49 | 49 | $104.96 | |
| 90677 | 785 | 773 | $89.40 | |
| 90471 | 5,166 | 5,093 | $82.09 | |
| J0561 | Penicillin g benzathine inj | 514 | 503 | $72.00 |
| G8510 | Scr dep neg, no plan reqd | 1,723 | 1,669 | $68.00 |
| 90715 | 1,200 | 1,182 | $61.93 | |
| 90833 | 784 | 754 | $54.07 | |
| 90739 | 461 | 458 | $33.42 | |
| G8431 | Pos clin depres scrn f/u doc | 2,750 | 2,612 | $18.00 |
| 87880 | 254 | 252 | $15.70 | |
| 81003 | 2,016 | 1,850 | $15.26 | |
| 86703 | 4,791 | 4,711 | $11.84 | |
| 83036 | 271 | 268 | $6.80 | |
| J0696 | Ceftriaxone sodium injection | 2,186 | 2,148 | $1.11 |
| 3008F | 20,815 | 19,522 | $0.00 | |
| 3048F | 245 | 239 | $0.00 | |
| 3075F | 1,630 | 1,575 | $0.00 | |
| 4010F | 2,011 | 1,882 | $0.00 | |
| 3079F | 2,467 | 2,374 | $0.00 | |
| 3080F | 1,556 | 1,493 | $0.00 | |
| 3500F | 943 | 931 | $0.00 | |
| 3074F | 3,230 | 3,061 | $0.00 | |
| 3353F | 624 | 605 | $0.00 | |
| 90674 | 731 | 721 | $0.00 | |
| 99406 | 26 | 26 | $0.00 | |
| 3044F | 753 | 717 | $0.00 | |
| 1036F | 2,288 | 2,133 | $0.00 | |
| 1126F | 74 | 70 | $0.00 | |
| 99383 | 12 | 12 | $0.00 | |
| 90632 | 49 | 49 | $0.00 | |
| 90619 | 300 | 289 | $0.00 | |
| 87635 | 85 | 85 | $0.00 | |
| 90732 | 12 | 12 | $0.00 | |
| 3052F | 12 | 12 | $0.00 | |
| 93000 | 13 | 13 | $0.00 | |
| 3049F | 16 | 14 | $0.00 | |
| D0210 | 21 | 18 | $0.00 | |
| 81025 | 3,264 | 3,178 | $0.00 | |
| 4274F | 4,239 | 4,076 | $0.00 | |
| 3078F | 2,912 | 2,765 | $0.00 | |
| 90611 | 197 | 196 | $0.00 | |
| 82948 | 234 | 229 | $0.00 | |
| 3046F | 315 | 293 | $0.00 | |
| 1159F | 1,357 | 1,248 | $0.00 | |
| 99215 | Prolong outpt/office vis | 398 | 366 | $0.00 |
| 4040F | 4,208 | 4,042 | $0.00 | |
| 99395 | 399 | 394 | $0.00 | |
| 90472 | 1,506 | 1,485 | $0.00 | |
| 3077F | 2,082 | 1,992 | $0.00 | |
| 3051F | 173 | 171 | $0.00 | |
| 90661 | 722 | 714 | $0.00 | |
| 99173 | 14 | 13 | $0.00 | |
| 99393 | 18 | 17 | $0.00 | |
| 0502F | 144 | 98 | $0.00 | |
| 1160F | 1,361 | 1,251 | $0.00 | |
| 80305 | 28 | 26 | $0.00 | |
| 90734 | 96 | 96 | $0.00 | |
| 46607 | 13 | 13 | $0.00 | |
| 90756 | 31 | 30 | $0.00 | |
| 90707 | 32 | 31 | $0.00 | |
| 87804 | 52 | 52 | $0.00 | |
| J1380 | Estradiol valerate 10 mg inj | 14 | 14 | $0.00 |