NPI: 1548634991 · CHICAGO, IL 60625 · Federally Qualified Health Center (FQHC) · NPI assigned 11/23/2015
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 11/23/2015 |
Other providers sharing the same authorized official: WILLIS, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAPESTRY 360 HEALTH | CHICAGO | IL | $64.09M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $1.41M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $582K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $540K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $498K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $319K |
| TAPESTRY 360 HEALTH | SKOKIE | IL | $252K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $240K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $229K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $195K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $145K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $131K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $68K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $51K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 386 | $38K |
| 2019 | 2,777 | $100K |
| 2020 | 1,630 | $132K |
| 2021 | 767 | $67K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,362 | 1,785 | $336K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,684 | 960 | $254.22 |
| 99173 | 30 | 13 | $8.80 | |
| 90686 | 86 | 62 | $6.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 258 | 150 | $0.00 |
| 92551 | 28 | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 98 | 70 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 14 | $0.00 |