NPI: 1598844268 · CHICAGO, IL 60632 · Federally Qualified Health Center (FQHC) · NPI assigned 11/03/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/03/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27,561 | $1.02M |
| 2019 | 59,717 | $1.62M |
| 2020 | 48,679 | $1.75M |
| 2021 | 45,273 | $1.64M |
| 2022 | 30,264 | $912K |
| 2023 | 23,708 | $799K |
| 2024 | 4,727 | $279K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 65,392 | 45,056 | $7.99M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 249 | 186 | $13K |
| 90651 | 2,138 | 1,919 | $9K | |
| 90734 | 1,597 | 1,394 | $5K | |
| 90686 | 5,490 | 4,940 | $886.06 | |
| 90633 | 1,245 | 1,072 | $792.69 | |
| 90698 | 1,204 | 948 | $786.52 | |
| 90670 | 2,018 | 1,610 | $785.14 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21,885 | 16,867 | $642.12 |
| 90715 | 1,384 | 1,202 | $587.86 | |
| 90716 | 163 | 137 | $488.08 | |
| 3078F | 12,346 | 8,614 | $351.00 | |
| 3074F | 12,778 | 8,853 | $351.00 | |
| 90707 | 198 | 163 | $348.46 | |
| 90681 | 628 | 477 | $327.00 | |
| 90744 | 737 | 606 | $315.60 | |
| 90688 | 568 | 537 | $291.84 | |
| 1126F | 28,745 | 22,819 | $260.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,936 | 4,870 | $193.00 |
| 1125F | 3,795 | 3,106 | $113.00 | |
| 90700 | 115 | 91 | $96.40 | |
| 3079F | 3,259 | 2,634 | $47.00 | |
| 3077F | 1,074 | 863 | $44.00 | |
| 3075F | 2,248 | 1,842 | $28.00 | |
| 81002 | 806 | 678 | $26.00 | |
| 3080F | 429 | 338 | $24.00 | |
| 90710 | 379 | 305 | $19.20 | |
| 90696 | 316 | 257 | $19.20 | |
| 81025 | 1,660 | 1,393 | $16.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,998 | 1,740 | $11.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 175 | 151 | $10.00 |
| 90685 | 464 | 352 | $6.40 | |
| 90648 | 102 | 79 | $6.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8,414 | 6,385 | $2.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,098 | 965 | $1.00 |
| 90461 | 7,089 | 3,045 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13,937 | 9,145 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,987 | 1,623 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,150 | 2,803 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 533 | 402 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 2,254 | 1,266 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,180 | 2,816 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 539 | 458 | $0.00 |
| 0502F | 3,044 | 1,598 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,290 | 2,850 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 606 | 534 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 818 | 714 | $0.00 |
| 90672 | 40 | 36 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2,767 | 2,404 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,359 | 1,965 | $0.00 |
| 85018 | 1,042 | 915 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,350 | 1,233 | $0.00 |
| 90697 | 13 | 13 | $0.00 | |
| 99385 | 26 | 26 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 177 | 147 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 245 | 81 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 114 | 105 | $0.00 |
| 90620 | 74 | 69 | $0.00 | |
| 99383 | 14 | 14 | $0.00 | |
| 90732 | 40 | 40 | $0.00 | |
| 0500F | 17 | 12 | $0.00 | |
| 99384 | 25 | 25 | $0.00 | |
| 86580 | 36 | 30 | $0.00 | |
| 99381 | 21 | 14 | $0.00 | |
| 90656 | 60 | 60 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 49 | 48 | $0.00 |