NPI: 1659691715 · CHICAGO, IL 60619 · Federally Qualified Health Center (FQHC) · NPI assigned 06/10/2010
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 06/10/2010 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 640 | $35K |
| 2019 | 1,001 | $59K |
| 2020 | 499 | $40K |
| 2021 | 1,414 | $109K |
| 2022 | 1,469 | $97K |
| 2023 | 1,256 | $77K |
| 2024 | 67 | $10K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,411 | 2,378 | $426K |
| 3078F | 68 | 47 | $38.00 | |
| 3074F | 108 | 73 | $38.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 423 | 330 | $28.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 91 | 81 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,064 | 892 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 46 | 41 | $0.00 |
| 90734 | 28 | 26 | $0.00 | |
| 99215 | Prolong outpt/office vis | 28 | 14 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 19 | 19 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28 | 24 | $0.00 |
| 1126F | 595 | 468 | $0.00 | |
| 1125F | 71 | 49 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 50 | 30 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 304 | 252 | $0.00 |
| 90686 | 12 | 12 | $0.00 |