NPI: 1366514887 · CHICAGO HEIGHTS, IL 60411 · 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 | 27,350 | $1.10M |
| 2019 | 43,321 | $1.15M |
| 2020 | 29,776 | $1.18M |
| 2021 | 23,588 | $928K |
| 2022 | 18,999 | $541K |
| 2023 | 22,960 | $802K |
| 2024 | 5,827 | $362K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 51,043 | 34,821 | $6.04M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 92 | 67 | $5K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 51 | 50 | $1K |
| 90651 | 1,330 | 1,029 | $789.91 | |
| 90710 | 254 | 205 | $382.64 | |
| 3074F | 11,114 | 7,437 | $331.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17,700 | 13,318 | $311.00 |
| 90633 | 1,220 | 976 | $267.38 | |
| 90698 | 1,363 | 1,046 | $266.44 | |
| 3078F | 8,544 | 5,809 | $247.00 | |
| 1126F | 13,024 | 9,790 | $138.00 | |
| 90734 | 949 | 788 | $118.58 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,362 | 4,777 | $108.00 |
| 3079F | 5,072 | 3,737 | $102.00 | |
| 90696 | 211 | 163 | $99.10 | |
| 81025 | 1,936 | 1,548 | $56.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5,326 | 3,999 | $51.00 |
| 90688 | 221 | 178 | $42.08 | |
| 90686 | 1,887 | 1,605 | $38.06 | |
| 1125F | 2,778 | 2,104 | $33.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 483 | 372 | $32.00 |
| 90670 | 1,803 | 1,423 | $32.00 | |
| 90715 | 881 | 710 | $31.37 | |
| 3075F | 2,036 | 1,576 | $27.00 | |
| 3080F | 1,178 | 871 | $15.00 | |
| 3077F | 1,566 | 1,162 | $6.00 | |
| 90744 | 437 | 323 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,152 | 1,640 | $0.00 |
| 90656 | 36 | 36 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,843 | 1,574 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,202 | 1,073 | $0.00 |
| 90716 | 128 | 97 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 83 | 80 | $0.00 |
| 0500F | 43 | 39 | $0.00 | |
| 99383 | 121 | 109 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 17 | 14 | $0.00 |
| 99381 | 151 | 144 | $0.00 | |
| 90677 | 25 | 14 | $0.00 | |
| 99384 | 13 | 13 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 29 | 28 | $0.00 |
| 90723 | 44 | 32 | $0.00 | |
| 0502F | 3,533 | 1,907 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2,290 | 1,791 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,220 | 1,008 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,433 | 1,202 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,870 | 1,453 | $0.00 |
| 90461 | 4,389 | 2,057 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,086 | 647 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2,041 | 1,718 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 612 | 505 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7,282 | 4,551 | $0.00 |
| 90707 | 94 | 82 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 330 | 293 | $0.00 |
| 90681 | 388 | 299 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 50 | 49 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 187 | 162 | $0.00 |
| 90648 | 64 | 42 | $0.00 | |
| 99215 | Prolong outpt/office vis | 15 | 15 | $0.00 |
| 90685 | 62 | 42 | $0.00 | |
| 81002 | 110 | 83 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 17 | 12 | $0.00 |