NPI: 1700230398 · CHICAGO, IL 60622 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,676 | $496K |
| 2019 | 19,146 | $934K |
| 2020 | 26,128 | $1.66M |
| 2021 | 35,483 | $1.26M |
| 2022 | 20,867 | $1.39M |
| 2023 | 27,467 | $1.37M |
| 2024 | 31,938 | $1.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 60,635 | 41,471 | $8.43M |
| T1040 | Comm bh clinic svc per diem | 367 | 295 | $23K |
| 90686 | 2,973 | 2,448 | $2K | |
| 99213 | 34,372 | 25,280 | $2K | |
| 0011A | 22 | 21 | $574.28 | |
| 99211 | 66 | 50 | $475.40 | |
| 90791 | 1,165 | 855 | $366.32 | |
| 90715 | 843 | 684 | $252.64 | |
| 90677 | 312 | 303 | $238.53 | |
| 99202 | 195 | 172 | $209.60 | |
| 99214 | 4,383 | 3,914 | $189.00 | |
| 99203 | 888 | 777 | $84.20 | |
| 99212 | 3,598 | 2,202 | $60.00 | |
| 99394 | 473 | 440 | $25.00 | |
| 87880 | 83 | 60 | $22.00 | |
| 96110 | 903 | 771 | $18.00 | |
| 81002 | 351 | 252 | $11.00 | |
| 0502F | 1,492 | 836 | $11.00 | |
| 99392 | 589 | 506 | $8.00 | |
| 99393 | 536 | 480 | $8.00 | |
| 99391 | 695 | 593 | $6.00 | |
| 1160F | 6,639 | 5,594 | $4.00 | |
| 81025 | 1,030 | 904 | $3.00 | |
| 99395 | 109 | 104 | $3.00 | |
| 1036F | 7,357 | 6,294 | $2.00 | |
| 3725F | 7,526 | 6,552 | $2.00 | |
| 99396 | 12 | 12 | $1.00 | |
| 3080F | 407 | 365 | $0.00 | |
| 3074F | 7,057 | 6,163 | $0.00 | |
| 99385 | 213 | 206 | $0.00 | |
| 3079F | 2,437 | 2,213 | $0.00 | |
| 3008F | 9,481 | 8,231 | $0.00 | |
| 96127 | 1,045 | 948 | $0.00 | |
| 90471 | 1,174 | 1,073 | $0.00 | |
| 3044F | 107 | 105 | $0.00 | |
| 3075F | 1,275 | 1,172 | $0.00 | |
| 90656 | 34 | 32 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 80 | 71 | $0.00 |
| 96372 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 88 | 76 | $0.00 |
| 36415 | 57 | 49 | $0.00 | |
| 99386 | 12 | 12 | $0.00 | |
| 99000 | 21 | 18 | $0.00 | |
| 3046F | 58 | 50 | $0.00 | |
| 3078F | 6,313 | 5,546 | $0.00 | |
| 90472 | 129 | 123 | $0.00 | |
| 90832 | 2,133 | 1,423 | $0.00 | |
| 3077F | 803 | 718 | $0.00 | |
| 2028F | 110 | 79 | $0.00 | |
| 99201 | 28 | 13 | $0.00 | |
| 3051F | 17 | 15 | $0.00 |