NPI: 1669812582 · CHICAGO, IL 60629 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,478 | $462K |
| 2019 | 14,744 | $507K |
| 2020 | 7,835 | $339K |
| 2021 | 21,412 | $675K |
| 2022 | 36,892 | $1.01M |
| 2023 | 27,780 | $830K |
| 2024 | 12,018 | $663K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 32,467 | 24,585 | $4.35M |
| T1040 | Comm bh clinic svc per diem | 1,368 | 1,049 | $91K |
| 0012A | 253 | 253 | $11K | |
| 0002A | 168 | 167 | $7K | |
| 0001A | 164 | 164 | $7K | |
| 0011A | 161 | 161 | $7K | |
| 90651 | 966 | 835 | $3K | |
| 90686 | 2,413 | 2,166 | $1K | |
| 90670 | 256 | 217 | $976.00 | |
| 90633 | 247 | 217 | $404.43 | |
| 90734 | 165 | 121 | $260.30 | |
| 99213 | 10,882 | 9,421 | $85.00 | |
| 96127 | 6,032 | 5,176 | $81.00 | |
| 99392 | 685 | 592 | $77.87 | |
| 90715 | 129 | 102 | $43.70 | |
| 99408 | 530 | 450 | $41.71 | |
| 90832 | 6,080 | 4,043 | $31.48 | |
| 99214 | 2,413 | 2,149 | $31.00 | |
| 90656 | 20 | 19 | $20.64 | |
| 90688 | 12 | 12 | $17.84 | |
| 99212 | 3,320 | 2,903 | $17.00 | |
| 99173 | 3,641 | 3,251 | $7.45 | |
| 81025 | 313 | 256 | $5.17 | |
| 1160F | 7,392 | 6,268 | $2.00 | |
| 1036F | 6,651 | 5,505 | $2.00 | |
| 3725F | 3,705 | 3,057 | $1.00 | |
| 99393 | 1,309 | 1,200 | $0.00 | |
| 90460 | 1,989 | 1,640 | $0.00 | |
| 81002 | 192 | 171 | $0.00 | |
| 99394 | 1,260 | 1,126 | $0.00 | |
| 1159F | 6,876 | 5,817 | $0.00 | |
| 3078F | 6,459 | 5,698 | $0.00 | |
| 87880 | 258 | 229 | $0.00 | |
| 99391 | 180 | 158 | $0.00 | |
| 99395 | 87 | 86 | $0.00 | |
| 90461 | 1,105 | 894 | $0.00 | |
| 90791 | 416 | 355 | $0.00 | |
| 87804 | 50 | 49 | $0.00 | |
| 90621 | 34 | 34 | $0.00 | |
| G8431 | Pos clin depres scrn f/u doc | 14 | 14 | $0.00 |
| 0502F | 55 | 37 | $0.00 | |
| 90472 | 12 | 12 | $0.00 | |
| 99382 | 14 | 14 | $0.00 | |
| 3074F | 6,672 | 5,848 | $0.00 | |
| 3079F | 878 | 787 | $0.00 | |
| 3075F | 410 | 372 | $0.00 | |
| 3008F | 9,904 | 8,384 | $0.00 | |
| 90471 | 526 | 473 | $0.00 | |
| 87428 | 255 | 251 | $0.00 | |
| 90723 | 88 | 76 | $0.00 | |
| 99383 | 174 | 154 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 1,179 | 1,061 | $0.00 |
| 1126F | 143 | 116 | $0.00 | |
| 90680 | 14 | 12 | $0.00 | |
| S5190 | Wellness assessment by nonph | 28 | 28 | $0.00 |
| 87426 | 406 | 372 | $0.00 | |
| 96110 | 68 | 65 | $0.00 | |
| 96161 | 157 | 144 | $0.00 | |
| 92551 | 130 | 130 | $0.00 | |
| 85018 | 170 | 153 | $0.00 | |
| 99202 | 97 | 97 | $0.00 | |
| 99384 | 32 | 27 | $0.00 | |
| 90647 | 14 | 12 | $0.00 | |
| 90834 | 50 | 34 | $0.00 | |
| 36415 | 21 | 21 | $0.00 |