NPI: 1528147824 · CHICAGO, IL 60612 · Federally Qualified Health Center (FQHC) · NPI assigned 11/06/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/06/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,582 | $437K |
| 2019 | 21,475 | $580K |
| 2020 | 14,508 | $705K |
| 2021 | 9,221 | $509K |
| 2022 | 5,441 | $190K |
| 2023 | 6,704 | $245K |
| 2024 | 748 | $60K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21,913 | 13,976 | $2.72M |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 61 | 61 | $1K |
| 90651 | 156 | 121 | $192.88 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8,638 | 6,121 | $146.35 |
| 3074F | 5,261 | 3,486 | $69.00 | |
| 3078F | 4,228 | 2,878 | $69.00 | |
| 1126F | 6,402 | 4,452 | $42.00 | |
| 81025 | 1,091 | 898 | $5.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 533 | 417 | $4.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7,649 | 5,560 | $4.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 116 | 94 | $2.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 525 | 458 | $0.00 |
| 3075F | 839 | 643 | $0.00 | |
| 3080F | 918 | 668 | $0.00 | |
| 3079F | 2,166 | 1,629 | $0.00 | |
| 1125F | 1,029 | 789 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 868 | 507 | $0.00 |
| 90686 | 324 | 285 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 447 | 380 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 28 | 28 | $0.00 |
| 90716 | 14 | 12 | $0.00 | |
| 90688 | 65 | 55 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 474 | 429 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 32 | 30 | $0.00 |
| 90715 | 126 | 113 | $0.00 | |
| 3077F | 1,203 | 903 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 138 | 96 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 142 | 134 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,174 | 634 | $0.00 |
| 90633 | 28 | 24 | $0.00 | |
| 81002 | 153 | 121 | $0.00 | |
| 90461 | 564 | 192 | $0.00 | |
| 0502F | 236 | 123 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 32 | 30 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 80 | 80 | $0.00 |
| 90734 | 12 | 12 | $0.00 | |
| 90707 | 14 | 12 | $0.00 |