NPI: 1467785782 · CHICAGO, IL 60629 · Federally Qualified Health Center (FQHC) · NPI assigned 09/18/2009
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 09/18/2009 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28,152 | $1.10M |
| 2019 | 48,661 | $1.42M |
| 2020 | 46,921 | $1.97M |
| 2021 | 34,883 | $1.53M |
| 2022 | 28,220 | $970K |
| 2023 | 24,217 | $878K |
| 2024 | 4,997 | $295K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 65,836 | 44,762 | $8.14M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 101 | 74 | $5K |
| 91322 | 24 | 23 | $3K | |
| 90698 | 2,170 | 1,619 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 63 | 62 | $2K |
| 90734 | 748 | 665 | $2K | |
| 90651 | 816 | 687 | $2K | |
| 90680 | 1,188 | 872 | $2K | |
| 0011A | 25 | 25 | $1K | |
| 90710 | 379 | 282 | $787.46 | |
| 90480 | 18 | 18 | $784.80 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24,724 | 18,533 | $717.22 |
| 90688 | 234 | 198 | $512.32 | |
| 3074F | 12,099 | 8,542 | $484.00 | |
| 90715 | 1,174 | 1,051 | $480.29 | |
| 90744 | 1,017 | 790 | $448.38 | |
| 3078F | 10,877 | 7,696 | $446.00 | |
| 90633 | 1,233 | 1,000 | $422.82 | |
| 90620 | 18 | 17 | $320.00 | |
| 90696 | 343 | 258 | $209.33 | |
| 90686 | 4,323 | 3,818 | $150.51 | |
| 3079F | 4,444 | 3,464 | $90.00 | |
| 81025 | 3,099 | 2,544 | $80.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,238 | 1,005 | $78.05 |
| 90707 | 273 | 220 | $64.78 | |
| 1126F | 5,072 | 4,106 | $64.00 | |
| 3075F | 2,569 | 2,049 | $52.00 | |
| 3080F | 2,096 | 1,651 | $45.00 | |
| 3077F | 2,628 | 2,025 | $45.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11,988 | 7,372 | $40.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,787 | 3,948 | $37.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,274 | 2,859 | $20.00 |
| 81002 | 1,451 | 1,225 | $20.00 | |
| 1125F | 1,443 | 1,164 | $19.00 | |
| 90670 | 2,302 | 1,730 | $12.80 | |
| 99215 | Prolong outpt/office vis | 205 | 167 | $11.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,573 | 2,982 | $10.00 |
| 90461 | 8,376 | 3,262 | $10.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9,898 | 7,166 | $2.01 |
| 0502F | 3,325 | 1,919 | $1.00 | |
| 90656 | 99 | 99 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,073 | 1,780 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2,949 | 2,314 | $0.00 |
| 82962 | 312 | 263 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 13 | 13 | $0.00 |
| 59430 | 113 | 85 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 217 | 189 | $0.00 |
| 90716 | 245 | 206 | $0.00 | |
| 99381 | 179 | 161 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,362 | 1,235 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 54 | 24 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 623 | 489 | $0.00 |
| 99383 | 17 | 15 | $0.00 | |
| 90677 | 18 | 13 | $0.00 | |
| 90697 | 17 | 12 | $0.00 | |
| 85018 | 18 | 13 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 499 | 428 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 130 | 118 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,308 | 1,981 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,699 | 1,108 | $0.00 |
| 90621 | 13 | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,413 | 1,867 | $0.00 |
| 90672 | 75 | 67 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 362 | 296 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 210 | 174 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 553 | 432 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 16 | 12 | $0.00 |