TAPESTRY 360 HEALTH
NPI: 1629217161
· CHICAGO, IL 60625
· Federally Qualified Health Center (FQHC)
· NPI assigned 02/06/2009
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
$195K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 02/06/2009 |
Related Entities
Other providers sharing the same authorized official: WILLIS, NICOLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
335 |
$29K |
| 2019 |
1,510 |
$55K |
| 2020 |
840 |
$70K |
| 2021 |
472 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,006 |
1,139 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
477 |
$180.01 |
| 90686 |
|
86 |
50 |
$19.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
80 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
58 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |