PCC COMMUNITY WELLNESS CENTER
NPI: 1558387167
· OAK PARK, IL 60302
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/15/2006
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | URSO, ROBERT (PRESIDENT & CEO) |
| Parent Organization | PCC COMMUNITY WELLNESS CENTER |
| NPI Enumeration Date | 07/15/2006 |
Related Entities
Other providers sharing the same authorized official: URSO, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$2K |
| 2019 |
3,743 |
$75K |
| 2020 |
1,068 |
$33K |
| 2021 |
493 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,195 |
536 |
$127K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,162 |
527 |
$0.00 |
| 96127 |
|
1,330 |
530 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
37 |
$0.00 |
| 81002 |
|
65 |
39 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
1,493 |
411 |
$0.00 |