NPI: 1447321898 · CHICAGO, IL 60623 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/09/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,264 | $543K |
| 2019 | 39,229 | $964K |
| 2020 | 34,378 | $1.22M |
| 2021 | 26,608 | $1.02M |
| 2022 | 15,243 | $518K |
| 2023 | 14,863 | $548K |
| 2024 | 2,385 | $170K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 42,243 | 27,393 | $4.97M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 249 | 146 | $13K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 84 | 82 | $876.10 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20,715 | 14,829 | $595.00 |
| 3074F | 11,188 | 6,939 | $489.00 | |
| 1126F | 15,352 | 11,207 | $406.00 | |
| 3078F | 10,019 | 6,125 | $361.00 | |
| 3079F | 4,505 | 3,393 | $196.00 | |
| 3077F | 3,464 | 2,546 | $139.00 | |
| 1125F | 4,139 | 3,151 | $135.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,179 | 2,550 | $133.00 |
| 3080F | 2,709 | 2,011 | $105.00 | |
| 81025 | 2,958 | 2,335 | $91.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,895 | 1,457 | $44.00 |
| 3075F | 2,516 | 1,951 | $33.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5,191 | 4,122 | $11.00 |
| 81002 | 188 | 161 | $7.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 3,114 | 1,457 | $2.00 |
| 90686 | 1,275 | 1,122 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 559 | 507 | $0.00 |
| 90651 | 69 | 40 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 638 | 575 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 470 | 402 | $0.00 |
| 90698 | 59 | 42 | $0.00 | |
| 90688 | 45 | 43 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 34 | 34 | $0.00 |
| 90696 | 12 | 12 | $0.00 | |
| 90656 | 14 | 14 | $0.00 | |
| 0500F | 12 | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 792 | 689 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 391 | 323 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,096 | 1,957 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 161 | 115 | $0.00 |
| 90670 | 176 | 123 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 733 | 635 | $0.00 |
| 90461 | 1,753 | 768 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 253 | 182 | $0.00 |
| 0502F | 539 | 340 | $0.00 | |
| 90715 | 34 | 25 | $0.00 | |
| 90734 | 44 | 41 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 33 | 24 | $0.00 |
| 90710 | 12 | 12 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 22 | 19 | $0.00 |
| 90633 | 36 | 26 | $0.00 |