PCC COMMUNITY WELLNESS CENTER
NPI: 1750621769
· OAK PARK, IL 60302
· 261QF0400X
$939K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,233 |
$60K |
| 2019 |
19,336 |
$451K |
| 2020 |
6,644 |
$268K |
| 2021 |
4,095 |
$152K |
| 2022 |
194 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
10,261 |
5,192 |
$920K |
| 0001A |
|
129 |
123 |
$5K |
| 0002A |
|
122 |
119 |
$5K |
| 0072A |
|
70 |
70 |
$3K |
| 0071A |
|
54 |
54 |
$2K |
| 0004A |
|
52 |
52 |
$2K |
| 0124A |
|
12 |
12 |
$501.60 |
| 80305 |
|
1,982 |
843 |
$44.90 |
| 81002 |
|
1,722 |
1,077 |
$10.40 |
| 81025 |
|
1,907 |
1,118 |
$7.74 |
| 99213 |
|
6,920 |
4,007 |
$0.00 |
| 3008F |
|
323 |
228 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,392 |
821 |
$0.00 |
| 96127 |
|
2,066 |
1,005 |
$0.00 |
| 90471 |
|
14 |
13 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
26 |
25 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| 99212 |
|
1,151 |
765 |
$0.00 |
| H0050 |
Alcohol/drug service 15 min |
1,577 |
568 |
$0.00 |
| 87880 |
|
573 |
341 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
114 |
74 |
$0.00 |
| 90832 |
|
993 |
332 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
16 |
15 |
$0.00 |
| 99203 |
|
14 |
13 |
$0.00 |