PCC COMMUNITY WELLNESS CENTER
NPI: 1508287673
· OAK PARK, IL 60302
· 261QF0400X
$197K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
4,064 |
$107K |
| 2020 |
922 |
$57K |
| 2021 |
603 |
$32K |
| 2022 |
29 |
$1K |
| 2024 |
14 |
$213.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
2,000 |
1,092 |
$196K |
| 0124A |
|
29 |
29 |
$1K |
| 90480 |
|
14 |
13 |
$213.50 |
| 90686 |
|
54 |
45 |
$102.70 |
| G8417 |
Calc bmi abv up param f/u |
537 |
297 |
$0.00 |
| 90472 |
|
46 |
28 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
84 |
56 |
$0.00 |
| 99393 |
|
48 |
20 |
$0.00 |
| 3008F |
|
1,114 |
645 |
$0.00 |
| 99213 |
|
805 |
439 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
148 |
84 |
$0.00 |
| 96110 |
|
14 |
12 |
$0.00 |
| 90471 |
|
234 |
164 |
$0.00 |
| 96127 |
|
372 |
174 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
133 |
66 |
$0.00 |