NPI: 1407043912 · CHICAGO, IL 60647 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 51,856 | $1.80M |
| 2019 | 78,376 | $2.82M |
| 2020 | 78,046 | $3.25M |
| 2021 | 41,157 | $1.97M |
| 2022 | 35,760 | $1.64M |
| 2023 | 27,040 | $663K |
| 2024 | 15,775 | $498K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 71,536 | 49,892 | $8.91M |
| D0999 | 34,096 | 29,670 | $3.67M | |
| 99213 | 42,089 | 30,350 | $9K | |
| 0072A | 184 | 183 | $8K | |
| 0071A | 175 | 174 | $7K | |
| 0002A | 147 | 141 | $6K | |
| 0001A | 108 | 105 | $5K | |
| 0064A | 42 | 42 | $2K | |
| 90658 | 2,004 | 1,634 | $2K | |
| 99214 | 4,778 | 3,809 | $1K | |
| 0054A | 26 | 26 | $1K | |
| 0011A | 46 | 46 | $1K | |
| 99393 | 2,225 | 2,051 | $814.32 | |
| 0003A | 17 | 17 | $716.38 | |
| 0012A | 14 | 14 | $534.96 | |
| 90649 | 419 | 344 | $519.58 | |
| 99392 | 3,446 | 2,954 | $496.06 | |
| 90832 | 1,622 | 1,019 | $469.72 | |
| 92551 | 2,887 | 2,667 | $449.60 | |
| 99212 | 2,908 | 2,446 | $441.00 | |
| 90460 | 3,904 | 3,446 | $424.00 | |
| 90686 | 1,701 | 1,649 | $377.66 | |
| 90791 | 566 | 457 | $364.20 | |
| 99173 | 2,577 | 2,358 | $322.85 | |
| 99394 | 1,334 | 1,219 | $319.24 | |
| 99391 | 4,281 | 3,478 | $288.75 | |
| 90471 | 1,599 | 1,484 | $212.00 | |
| 90670 | 2,998 | 2,597 | $211.60 | |
| 90723 | 2,318 | 1,994 | $198.80 | |
| 90715 | 937 | 807 | $180.56 | |
| 90716 | 513 | 417 | $169.93 | |
| 90680 | 2,038 | 1,754 | $160.60 | |
| 85018 | 2,629 | 2,181 | $160.40 | |
| 90688 | 388 | 382 | $157.64 | |
| 90461 | 2,010 | 1,874 | $152.00 | |
| 90648 | 822 | 783 | $131.20 | |
| 90633 | 1,311 | 1,090 | $124.00 | |
| 90734 | 498 | 460 | $94.20 | |
| 90647 | 2,002 | 1,665 | $83.60 | |
| 96110 | 433 | 331 | $65.21 | |
| 36415 | 3,798 | 3,076 | $59.10 | |
| 90651 | 295 | 264 | $57.00 | |
| 99203 | 627 | 480 | $49.55 | |
| 81025 | 717 | 597 | $47.74 | |
| 90472 | 277 | 255 | $41.00 | |
| 90707 | 512 | 412 | $34.20 | |
| 81002 | 346 | 288 | $31.00 | |
| 90700 | 364 | 325 | $26.00 | |
| 96372 | 253 | 163 | $23.00 | |
| 90696 | 127 | 123 | $23.00 | |
| 90710 | 141 | 137 | $23.00 | |
| 82962 | 186 | 169 | $21.00 | |
| 83036 | 187 | 166 | $21.00 | |
| 90657 | 673 | 494 | $6.40 | |
| 99381 | 393 | 335 | $6.00 | |
| D7140 | 703 | 538 | $0.00 | |
| D0601 | 8,500 | 7,852 | $0.00 | |
| D2392 | 5,153 | 3,573 | $0.00 | |
| D0150 | 4,630 | 4,344 | $0.00 | |
| D0120 | 15,703 | 14,722 | $0.00 | |
| D1206 | 5,193 | 4,662 | $0.00 | |
| D1351 | 7,513 | 2,772 | $0.00 | |
| D0140 | 2,224 | 2,034 | $0.00 | |
| D0603 | 7,881 | 7,266 | $0.00 | |
| D1208 | 12,652 | 12,099 | $0.00 | |
| D2393 | 266 | 211 | $0.00 | |
| D0210 | 26 | 25 | $0.00 | |
| D0602 | 1,623 | 1,504 | $0.00 | |
| 96127 | 72 | 67 | $0.00 | |
| D0272 | 5,607 | 5,246 | $0.00 | |
| 90792 | 19 | 13 | $0.00 | |
| 90834 | 861 | 539 | $0.00 | |
| D0230 | 42 | 42 | $0.00 | |
| 81005 | 437 | 407 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 15 | $0.00 |
| 93000 | 66 | 61 | $0.00 | |
| 76815 | 232 | 192 | $0.00 | |
| 3074F | 350 | 285 | $0.00 | |
| 3008F | 390 | 323 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 588 | 487 | $0.00 |
| 3079F | 88 | 79 | $0.00 | |
| 76801 | 290 | 175 | $0.00 | |
| 0503F | 23 | 13 | $0.00 | |
| D2330 | 38 | 33 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 198 | 155 | $0.00 |
| 3075F | 14 | 14 | $0.00 | |
| 86580 | 28 | 26 | $0.00 | |
| 4010F | 54 | 52 | $0.00 | |
| 94760 | 674 | 488 | $0.00 | |
| D1310 | 124 | 81 | $0.00 | |
| 59430 | 15 | 15 | $0.00 | |
| 1036F | 133 | 121 | $0.00 | |
| D2331 | 35 | 24 | $0.00 | |
| 3052F | 13 | 12 | $0.00 | |
| 3044F | 21 | 20 | $0.00 | |
| 1160F | 78 | 73 | $0.00 | |
| D2391 | 5,116 | 3,521 | $0.00 | |
| D0274 | 3,908 | 3,620 | $0.00 | |
| D1120 | 17,897 | 16,816 | $0.00 | |
| D0220 | 2,298 | 2,111 | $0.00 | |
| D0180 | 142 | 116 | $0.00 | |
| D1354 | 202 | 81 | $0.00 | |
| D1110 | 638 | 593 | $0.00 | |
| D4341 | 1,616 | 873 | $0.00 | |
| 90863 | 16 | 14 | $0.00 | |
| 83026 | 174 | 152 | $0.00 | |
| 87880 | 151 | 126 | $0.00 | |
| 1159F | 96 | 88 | $0.00 | |
| 3078F | 363 | 296 | $0.00 | |
| 0502F | 45 | 39 | $0.00 | |
| 3077F | 92 | 83 | $0.00 | |
| 87210 | 37 | 25 | $0.00 | |
| 3046F | 15 | 15 | $0.00 | |
| 59025 | 46 | 16 | $0.00 | |
| 99204 | 49 | 28 | $0.00 | |
| D0270 | 12 | 12 | $0.00 |