NPI: 1710065164 · WEST CHICAGO, IL 60185 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,234 | $466K |
| 2019 | 22,316 | $638K |
| 2020 | 21,471 | $850K |
| 2021 | 20,164 | $731K |
| 2022 | 16,870 | $156K |
| 2023 | 43,893 | $1.21M |
| 2024 | 13,234 | $603K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 44,805 | 28,124 | $4.64M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 195 | 119 | $8K |
| 90651 | 566 | 449 | $7K | |
| 90734 | 505 | 372 | $2K | |
| 99000 | 59 | 59 | $1K | |
| 90686 | 3,297 | 2,626 | $1K | |
| 90670 | 697 | 488 | $416.62 | |
| 90633 | 196 | 174 | $70.46 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18,454 | 12,433 | $14.00 |
| 3074F | 9,741 | 5,958 | $1.00 | |
| 1126F | 16,874 | 11,730 | $1.00 | |
| 3075F | 2,175 | 1,477 | $1.00 | |
| 3079F | 4,530 | 3,000 | $1.00 | |
| 3078F | 7,815 | 4,861 | $1.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,276 | 1,640 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,736 | 1,110 | $0.00 |
| 3080F | 465 | 321 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 103 | 51 | $0.00 |
| 90698 | 455 | 318 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 450 | 412 | $0.00 |
| 0500F | 28 | 25 | $0.00 | |
| 85018 | 385 | 347 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,099 | 894 | $0.00 |
| 1125F | 1,284 | 962 | $0.00 | |
| 82962 | 65 | 54 | $0.00 | |
| 90688 | 34 | 25 | $0.00 | |
| 99383 | 16 | 16 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 57 | 53 | $0.00 |
| 90744 | 86 | 64 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 212 | 185 | $0.00 |
| 90656 | 196 | 196 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 13 | 13 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 667 | 513 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5,133 | 3,747 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 339 | 277 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,390 | 1,087 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 688 | 512 | $0.00 |
| 81002 | 1,514 | 1,054 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,909 | 1,490 | $0.00 |
| 0502F | 1,099 | 637 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,647 | 1,267 | $0.00 |
| 3077F | 1,284 | 803 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,017 | 649 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 258 | 198 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8,800 | 5,921 | $0.00 |
| 90461 | 1,583 | 1,041 | $0.00 | |
| 81025 | 1,017 | 712 | $0.00 | |
| 90671 | 107 | 72 | $0.00 | |
| 90681 | 77 | 53 | $0.00 | |
| 90715 | 220 | 164 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 292 | 121 | $0.00 |
| 90685 | 112 | 83 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 41 | 36 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 99 | 75 | $0.00 |
| 90750 | 20 | 14 | $0.00 |