TAPESTRY 360 HEALTH
NPI: 1316424914
· SKOKIE, IL 60077
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/26/2018
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
$252K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 07/26/2018 |
Related Entities
Other providers sharing the same authorized official: WILLIS, NICOLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,304 |
$48K |
| 2020 |
1,647 |
$130K |
| 2021 |
927 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,285 |
1,292 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
844 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
26 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
159 |
$0.00 |