GRAND PRAIRIE SERVICES
NPI: 1447723564
· CHICAGO HEIGHTS, IL 60411
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/11/2019
$679K
Total Medicaid Paid
Provider Details
| Authorized Official | WARD, SHARRONNE (PRESIDENT AND CEO) |
| Parent Organization | GRAND PRAIRIE SERVICES |
| NPI Enumeration Date | 01/11/2019 |
Related Entities
Other providers sharing the same authorized official: WARD, SHARRONNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
1,218 |
$90K |
| 2021 |
2,009 |
$162K |
| 2022 |
1,652 |
$143K |
| 2023 |
1,995 |
$165K |
| 2024 |
1,270 |
$118K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,415 |
3,364 |
$679K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,791 |
2,322 |
$444.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
13 |
$0.00 |
| 2000F |
|
32 |
25 |
$0.00 |
| 99441 |
|
32 |
22 |
$0.00 |
| 1000F |
|
16 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
522 |
489 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
85 |
$0.00 |
| 94760 |
|
149 |
125 |
$0.00 |
| 96127 |
|
58 |
51 |
$0.00 |