NPI: 1639588254 · ROUND LAKE, IL 60073 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,107 | $172K |
| 2019 | 5,430 | $182K |
| 2020 | 4,064 | $186K |
| 2021 | 5,781 | $288K |
| 2022 | 4,495 | $246K |
| 2023 | 3,680 | $240K |
| 2024 | 4,510 | $329K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 13,667 | 9,502 | $1.63M |
| T1040 | Comm bh clinic svc per diem | 93 | 74 | $7K |
| 90734 | 685 | 622 | $1K | |
| 90651 | 816 | 792 | $627.41 | |
| 99213 | 2,496 | 2,016 | $531.17 | |
| 99214 | 452 | 330 | $212.50 | |
| 90686 | 1,298 | 1,252 | $190.30 | |
| 90832 | 3,659 | 1,801 | $176.88 | |
| 90715 | 228 | 226 | $96.81 | |
| J1050 | Medroxyprogesterone acetate | 32 | 30 | $84.00 |
| 90791 | 213 | 160 | $70.00 | |
| 99212 | 1,306 | 1,211 | $24.96 | |
| 96110 | 393 | 379 | $16.08 | |
| 96372 | 60 | 59 | $9.81 | |
| 81025 | 262 | 159 | $7.74 | |
| 99393 | 648 | 624 | $0.00 | |
| 99394 | 1,200 | 1,144 | $0.00 | |
| 90633 | 244 | 234 | $0.00 | |
| 99173 | 254 | 252 | $0.00 | |
| 99392 | 243 | 235 | $0.00 | |
| 99203 | 30 | 30 | $0.00 | |
| 99201 | 43 | 43 | $0.00 | |
| 81002 | 41 | 25 | $0.00 | |
| 90619 | 387 | 374 | $0.00 | |
| 96127 | 1,087 | 931 | $0.00 | |
| 90620 | 711 | 700 | $0.00 | |
| 99202 | 205 | 201 | $0.00 | |
| S5190 | Wellness assessment by nonph | 25 | 25 | $0.00 |
| 99383 | 46 | 42 | $0.00 | |
| 90677 | 14 | 12 | $0.00 | |
| 90647 | 13 | 13 | $0.00 | |
| 99384 | 31 | 31 | $0.00 | |
| 90656 | 172 | 161 | $0.00 | |
| 90744 | 13 | 13 | $0.00 |