NPI: 1538294483 · CHICAGO, IL 60613 · 251S00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,977 | $1.88M |
| 2019 | 53,979 | $2.80M |
| 2020 | 42,965 | $2.57M |
| 2021 | 36,630 | $2.45M |
| 2022 | 37,400 | $2.73M |
| 2023 | 33,007 | $2.58M |
| 2024 | 28,256 | $2.00M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 117,800 | 71,331 | $15.64M |
| D0999 | 11,235 | 7,463 | $1.12M | |
| T1040 | Comm bh clinic svc per diem | 1,777 | 961 | $121K |
| 0011A | 720 | 662 | $22K | |
| 0064A | 463 | 428 | $19K | |
| 0012A | 485 | 462 | $18K | |
| H2015 | Comp comm supp svc, 15 min | 788 | 29 | $16K |
| 99213 | 48,621 | 35,476 | $7K | |
| H2010 | Comprehensive med svc 15 min | 223 | 14 | $7K |
| D0140 | 2,289 | 1,985 | $7K | |
| 0134A | 162 | 157 | $7K | |
| 99214 | 22,686 | 18,149 | $3K | |
| G2012 | Brief check in by md/qhp | 223 | 149 | $2K |
| 90792 | 985 | 835 | $2K | |
| D7140 | 1,129 | 703 | $1K | |
| 0094A | 29 | 29 | $1K | |
| D0120 | 964 | 886 | $1K | |
| 99202 | 4,360 | 3,454 | $990.68 | |
| 99204 | 2,025 | 1,872 | $772.14 | |
| 99212 | 7,065 | 5,881 | $515.25 | |
| 90832 | 7,030 | 3,620 | $431.22 | |
| 90834 | 4,097 | 1,984 | $381.56 | |
| D0220 | 2,116 | 1,868 | $257.28 | |
| 99395 | 465 | 442 | $256.95 | |
| 96156 | 3,083 | 1,822 | $224.84 | |
| 90837 | 1,846 | 825 | $177.14 | |
| 99203 | 3,413 | 3,059 | $172.97 | |
| 87426 | 72 | 70 | $141.32 | |
| 96152 | 1,608 | 899 | $117.28 | |
| 90853 | 353 | 152 | $87.69 | |
| 96372 | 651 | 612 | $39.24 | |
| D0210 | 603 | 556 | $35.52 | |
| D9995 | 76 | 58 | $25.00 | |
| 90686 | 416 | 409 | $22.35 | |
| 90656 | 292 | 291 | $20.64 | |
| 90471 | 1,019 | 979 | $10.05 | |
| 86580 | 108 | 76 | $4.00 | |
| D1206 | 228 | 152 | $0.00 | |
| 3008F | 1,144 | 970 | $0.00 | |
| 99386 | 1,495 | 1,441 | $0.00 | |
| 1036F | 116 | 104 | $0.00 | |
| 3080F | 271 | 247 | $0.00 | |
| D2392 | 646 | 449 | $0.00 | |
| 3075F | 298 | 282 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 351 | 255 | $0.00 |
| 99385 | 1,162 | 1,125 | $0.00 | |
| 3074F | 1,048 | 936 | $0.00 | |
| 1034F | 89 | 82 | $0.00 | |
| 3079F | 393 | 369 | $0.00 | |
| D0230 | 54 | 53 | $0.00 | |
| D2393 | 45 | 28 | $0.00 | |
| D0150 | 342 | 313 | $0.00 | |
| 1126F | 81 | 66 | $0.00 | |
| 2000F | 221 | 189 | $0.00 | |
| 4010F | 29 | 26 | $0.00 | |
| D2331 | 17 | 13 | $0.00 | |
| D2330 | 16 | 12 | $0.00 | |
| 3078F | 1,189 | 1,040 | $0.00 | |
| 80307 | 475 | 423 | $0.00 | |
| 3077F | 510 | 459 | $0.00 | |
| D0274 | 429 | 377 | $0.00 | |
| D4341 | 205 | 100 | $0.00 | |
| 1159F | 176 | 157 | $0.00 | |
| D2391 | 316 | 224 | $0.00 | |
| 99396 | 892 | 827 | $0.00 | |
| D4910 | 253 | 213 | $0.00 | |
| 82948 | 155 | 136 | $0.00 | |
| D1110 | 606 | 519 | $0.00 | |
| 1160F | 176 | 157 | $0.00 | |
| 81025 | 27 | 27 | $0.00 | |
| 80305 | 204 | 177 | $0.00 | |
| 4145F | 136 | 129 | $0.00 | |
| 90472 | 12 | 12 | $0.00 | |
| 90791 | 46 | 31 | $0.00 | |
| 99215 | Prolong outpt/office vis | 57 | 52 | $0.00 |
| D0330 | 15 | 15 | $0.00 | |
| 90658 | 12 | 12 | $0.00 |