NPI: 1629156807 · CHICAGO, IL 60620 · 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 | 12,754 | $516K |
| 2019 | 22,672 | $586K |
| 2020 | 8,375 | $381K |
| 2021 | 7,530 | $357K |
| 2022 | 7,042 | $242K |
| 2023 | 9,683 | $372K |
| 2024 | 624 | $58K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21,057 | 14,734 | $2.48M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 341 | 174 | $17K |
| 99000 | 484 | 466 | $11K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 66 | 65 | $2K |
| 90651 | 128 | 104 | $597.03 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,389 | 4,281 | $253.80 |
| 3074F | 4,713 | 3,357 | $104.00 | |
| 3078F | 3,824 | 2,760 | $104.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,332 | 1,633 | $92.00 |
| 90715 | 607 | 503 | $38.67 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 399 | 305 | $35.35 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,244 | 3,504 | $8.00 |
| 90710 | 24 | 24 | $6.40 | |
| 99215 | Prolong outpt/office vis | 166 | 152 | $3.00 |
| 1126F | 5,242 | 4,053 | $1.00 | |
| 81025 | 661 | 565 | $1.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,342 | 781 | $1.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2,224 | 1,087 | $1.00 |
| 90686 | 646 | 557 | $0.00 | |
| 1125F | 1,555 | 1,215 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 882 | 807 | $0.00 |
| 3080F | 1,169 | 864 | $0.00 | |
| 3079F | 2,223 | 1,726 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 978 | 840 | $0.00 |
| 3075F | 1,249 | 962 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 160 | 130 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 859 | 713 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 111 | 103 | $0.00 |
| 90688 | 100 | 81 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 39 | 26 | $0.00 |
| 90461 | 1,475 | 444 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 258 | 220 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 198 | 168 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 412 | 373 | $0.00 |
| 90633 | 204 | 144 | $0.00 | |
| 3077F | 1,273 | 973 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 544 | 443 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 406 | 291 | $0.00 |
| 90734 | 50 | 49 | $0.00 | |
| 0502F | 129 | 84 | $0.00 | |
| 90670 | 224 | 147 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 40 | 40 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 124 | 105 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 28 | 16 | $0.00 |
| 81002 | 28 | 26 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 73 | 41 | $0.00 |