NPI: 1679900229 · LIBERTYVILLE, IL 60048 · Federally Qualified Health Center (FQHC) · NPI assigned 09/27/2013
Authorized official COOPER, ANGELA controls 20+ related entities in our dataset. Read more
| Authorized Official | COOPER, ANGELA (CFO) |
| NPI Enumeration Date | 09/27/2013 |
Other providers sharing the same authorized official: COOPER, ANGELA
| Provider | City | State | Total Paid |
|---|---|---|---|
| COUNTY OF LAKE | WAUKEGAN | IL | $18.71M |
| COUNTY OF LAKE | WAUKEGAN | IL | $13.47M |
| COUNTY OF LAKE | ROUND LAKE BEACH | IL | $9.65M |
| COUNTY OF LAKE | WAUKEGAN | IL | $8.12M |
| COUNTY OF LAKE | ZION | IL | $7.14M |
| COUNTY OF LAKE | WAUKEGAN | IL | $6.41M |
| COUNTY OF LAKE | NORTH CHICAGO | IL | $6.09M |
| COUNTY OF LAKE | HIGHLAND PARK | IL | $5.24M |
| COUNTY OF LAKE | WAUKEGAN | IL | $4.00M |
| COUNTY OF LAKE | WAUKEGAN | IL | $3.35M |
| COUNTY OF LAKE | WAUKEGAN | IL | $2.40M |
| COUNTY OF LAKE | LIBERTYVILLE | IL | $2.24M |
| COUNTY OF LAKE | ROUND LAKE PARK | IL | $2.19M |
| COUNTY OF LAKE | WAUKEGAN | IL | $2.08M |
| COUNTY OF LAKE | ROUND LAKE | IL | $1.64M |
| COUNTY OF LAKE | WAUKEGAN | IL | $1.27M |
| COUNTY OF LAKE | WAUKEGAN | IL | $180K |
| COUNTY OF LAKE | WAUKEGAN | IL | $149K |
| COUNTY OF LAKE | VERNON HILLS | IL | $136K |
| COUNTY OF LAKE | WAUKEGAN | IL | $96K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,685 | $295K |
| 2019 | 10,929 | $495K |
| 2020 | 10,981 | $781K |
| 2021 | 10,590 | $837K |
| 2022 | 10,005 | $837K |
| 2023 | 9,250 | $807K |
| 2024 | 6,860 | $649K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 33,687 | 27,522 | $4.67M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17,898 | 15,437 | $24K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,478 | 7,633 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1,572 | 1,355 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 190 | 174 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 228 | 149 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 15 | 14 | $0.00 |
| 90686 | 205 | 134 | $0.00 | |
| 96127 | 15 | 13 | $0.00 |