NPI: 1538247762 · CHICAGO, IL 60653 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,233 | $780K |
| 2019 | 41,205 | $1.04M |
| 2020 | 27,681 | $989K |
| 2021 | 30,467 | $1.11M |
| 2022 | 20,109 | $670K |
| 2023 | 18,678 | $666K |
| 2024 | 2,327 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 44,097 | 30,956 | $5.41M |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 146 | 142 | $5K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 31 | 17 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17,176 | 13,052 | $257.00 |
| 3074F | 13,071 | 9,621 | $235.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,906 | 1,527 | $231.71 |
| 3078F | 11,322 | 8,360 | $221.00 | |
| 90698 | 367 | 250 | $180.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,842 | 4,155 | $170.94 |
| 90633 | 475 | 409 | $134.52 | |
| 1126F | 17,545 | 13,731 | $116.00 | |
| 81025 | 3,173 | 2,617 | $56.58 | |
| 1125F | 5,158 | 4,146 | $46.00 | |
| 3079F | 4,144 | 3,356 | $32.00 | |
| 90670 | 780 | 587 | $25.60 | |
| 3075F | 2,281 | 1,889 | $19.00 | |
| 81002 | 579 | 501 | $14.00 | |
| 3080F | 2,183 | 1,753 | $7.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,924 | 3,771 | $6.00 |
| 3077F | 2,135 | 1,718 | $6.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 944 | 858 | $1.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,603 | 1,332 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 940 | 871 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 890 | 821 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5,056 | 3,068 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,088 | 580 | $0.00 |
| 0502F | 1,398 | 812 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,695 | 1,475 | $0.00 |
| 90461 | 3,398 | 1,369 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 579 | 427 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 293 | 268 | $0.00 |
| 90710 | 112 | 105 | $0.00 | |
| 90734 | 376 | 335 | $0.00 | |
| 90715 | 329 | 287 | $0.00 | |
| 90707 | 30 | 28 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 114 | 91 | $0.00 |
| 99215 | Prolong outpt/office vis | 55 | 48 | $0.00 |
| 90696 | 98 | 86 | $0.00 | |
| 90651 | 604 | 534 | $0.00 | |
| 90686 | 996 | 908 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 748 | 690 | $0.00 |
| 90688 | 96 | 84 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,191 | 959 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,364 | 1,267 | $0.00 |
| 90744 | 88 | 63 | $0.00 | |
| 90620 | 54 | 49 | $0.00 | |
| 99385 | 38 | 38 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 39 | 38 | $0.00 |
| 90680 | 34 | 16 | $0.00 | |
| 99386 | 13 | 13 | $0.00 | |
| 90656 | 15 | 15 | $0.00 | |
| 0500F | 39 | 38 | $0.00 | |
| 90716 | 32 | 28 | $0.00 | |
| 99383 | 16 | 12 | $0.00 |