PCC COMMUNITY WELLNESS CENTER
NPI: 1720104573
· MELROSE PARK, IL 60160
· 261QF0400X
$486K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
216 |
$20K |
| 2019 |
9,527 |
$248K |
| 2020 |
2,927 |
$127K |
| 2021 |
1,923 |
$88K |
| 2022 |
65 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
4,932 |
2,531 |
$477K |
| 0011A |
|
78 |
78 |
$3K |
| 0124A |
|
65 |
65 |
$3K |
| 0004A |
|
30 |
30 |
$1K |
| 90686 |
|
175 |
144 |
$1K |
| 0012A |
|
21 |
21 |
$884.94 |
| 0001A |
|
12 |
12 |
$505.68 |
| 81025 |
|
194 |
100 |
$18.08 |
| 3008F |
|
1,353 |
762 |
$0.00 |
| 96127 |
|
1,288 |
577 |
$0.00 |
| 99213 |
|
2,146 |
1,185 |
$0.00 |
| 96110 |
|
478 |
347 |
$0.00 |
| 90471 |
|
844 |
584 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
719 |
392 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 36416 |
|
24 |
12 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
40 |
40 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
50 |
14 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
704 |
194 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
777 |
426 |
$0.00 |
| 90472 |
|
299 |
206 |
$0.00 |
| 99391 |
|
111 |
63 |
$0.00 |
| 99392 |
|
95 |
79 |
$0.00 |
| 90670 |
|
44 |
25 |
$0.00 |
| 81002 |
|
78 |
25 |
$0.00 |
| 90832 |
|
38 |
29 |
$0.00 |
| 99393 |
|
50 |
25 |
$0.00 |