Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › CHICAGO › ERIE FAMILY HEALTH CENTER, INC

ERIE FAMILY HEALTH CENTER, INC

NPI: 1760499545 · CHICAGO, IL 60622 · Federally Qualified Health Center (FQHC) · NPI assigned 08/02/2006

$143.56M
Total Medicaid Paid
2,804,606
Total Claims
2,252,578
Beneficiaries
218
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRANCIS, LEE (PESIDENT AND CEO)
NPI Enumeration Date08/02/2006

Related Entities

Other providers sharing the same authorized official: FRANCIS, LEE

ProviderCityStateTotal Paid
ERIE FAMILY HEALTH CENTER INC EVANSTON IL $12.39M
ERIE FAMILY HEALTH CENTER INC CHICAGO IL $870K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190,680 $8.46M
2019 284,554 $12.30M
2020 282,407 $13.57M
2021 318,808 $17.62M
2022 347,653 $19.55M
2023 679,244 $34.62M
2024 701,260 $37.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 910,961 639,386 $137.97M
T1040 Medicaid certified community behavioral health clinic services, per diem 21,550 14,761 $1.50M
D0999 Unspecified diagnostic procedure, by report 13,097 11,873 $1.49M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 997 652 $905K
59514 229 112 $232K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 396 300 $179K
0002A 3,886 3,365 $162K
0001A 3,751 3,218 $154K
90649 3,679 3,058 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 511,734 377,864 $64K
90670 26,895 24,494 $54K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 429 289 $52K
99238 Hospital discharge day management, 30 minutes or less 1,728 1,259 $50K
58300 2,376 1,954 $46K
99232 Subsequent hospital care, per day, moderate complexity 1,694 756 $41K
90734 6,138 5,510 $41K
0012A 1,101 1,095 $39K
59430 4,740 4,313 $38K
90710 8,213 7,659 $37K
11981 1,573 1,323 $31K
0011A 961 958 $22K
99222 Initial hospital care, per day, moderate complexity 433 292 $21K
0071A 486 483 $20K
90658 12,974 10,536 $20K
0072A 462 459 $19K
0124A 518 433 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75,292 67,064 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 834 437 $14K
J7300 Intrauterine copper contraceptive (paragard) 46 41 $12K
90716 9,844 8,951 $12K
0064A 264 263 $11K
0054A 289 270 $10K
90696 7,889 7,380 $10K
90715 14,510 13,504 $10K
90633 19,335 17,745 $9K
99460 231 188 $9K
0154A 206 181 $9K
D1120 Prophylaxis - child 6,925 6,738 $8K
0111A 190 180 $8K
90723 27,931 25,763 $8K
90680 25,342 23,189 $8K
90651 10,687 10,237 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,852 1,408 $7K
90707 9,581 8,710 $6K
90647 10,551 8,842 $6K
91322 42 42 $6K
D0120 Periodic oral evaluation - established patient 5,741 5,553 $5K
D1206 Topical application of fluoride varnish 3,861 3,858 $5K
0112A 111 105 $5K
90832 Psychotherapy, 30 minutes with patient 29,446 19,888 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 54,088 50,121 $4K
99221 123 105 $4K
90686 28,187 27,456 $4K
0003A 89 89 $4K
90700 8,879 8,127 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24,323 23,155 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 38,045 36,117 $3K
90791 Psychiatric diagnostic evaluation 10,300 9,272 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33,807 28,120 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,894 1,833 $3K
99223 Prolong inpt eval add15 m 40 27 $3K
0500F 3,377 3,082 $3K
90834 Psychotherapy, 45 minutes with patient 12,864 9,169 $3K
D1351 Sealant - per tooth 1,914 782 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,609 1,173 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 51,887 46,343 $2K
36415 Collection of venous blood by venipuncture 22,629 18,154 $2K
90837 Psychotherapy, 53 minutes with patient 5,851 4,159 $2K
92551 26,942 24,872 $1K
99173 29,711 27,286 $1K
0004A 30 30 $1K
0013A 31 31 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 23,540 21,351 $1K
85018 48,816 42,224 $1K
58301 1,115 1,058 $1K
D0150 Comprehensive oral evaluation - new or established patient 1,860 1,814 $1K
99462 70 40 $1K
D0274 Bitewings - four radiographic images 1,655 1,611 $957.12
90688 9,548 9,327 $921.89
90648 25,791 24,294 $893.44
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,421 7,643 $834.11
0074A 129 93 $794.20
99233 Prolong inpt eval add15 m 24 12 $771.10
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,309 5,382 $737.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70,717 68,337 $694.70
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,700 10,437 $668.78
81025 20,226 18,592 $668.47
90677 9,064 8,737 $653.64
D0272 Bitewings - two radiographic images 1,835 1,799 $643.22
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,407 6,167 $618.90
0151A 14 14 $610.40
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,064 2,921 $594.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,728 8,201 $588.50
59025 Fetal non-stress test 10,008 5,143 $566.29
90792 Psychiatric diagnostic evaluation with medical services 2,371 2,285 $497.76
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,008 848 $486.14
99215 Prolong outpt/office vis 2,312 2,232 $460.54
0503F 4,160 3,626 $454.35
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,262 6,689 $408.16
D0140 Limited oral evaluation - problem focused 670 656 $401.52
99385 539 518 $385.59
90461 11,678 9,946 $335.00
81002 18,240 16,910 $315.20
11982 856 845 $272.65
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,122 2,075 $259.95
83036 Hemoglobin; glycosylated (A1C) 10,704 10,091 $236.50
D0220 Intraoral - periapical first radiographic image 771 752 $224.74
90657 5,920 4,303 $223.60
D1208 Topical application of fluoride, excluding varnish 2,961 2,783 $218.40
99397 45 44 $213.80
17110 584 533 $204.72
1160F 6,624 5,822 $186.22
90472 Immunization administration, each additional vaccine (list separately) 31,978 30,895 $184.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 21 14 $158.28
96127 9,694 9,138 $148.23
D1110 Prophylaxis - adult 243 243 $145.14
99381 8,469 8,230 $145.05
99383 1,737 1,581 $141.75
86580 1,075 876 $114.00
99384 1,666 1,559 $113.96
D7140 Extraction, erupted tooth or exposed root 93 79 $107.10
90713 526 510 $106.87
99386 82 81 $104.96
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,041 8,567 $104.83
90685 334 306 $101.40
82962 12,400 11,014 $100.09
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 91 86 $87.55
90474 11,453 10,944 $87.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 5,352 5,130 $73.00
76830 Ultrasound, transvaginal 277 254 $71.90
D0210 Intraoral - complete series of radiographic images 172 172 $71.04
93000 2,047 1,885 $69.45
81005 1,633 1,377 $63.64
20610 152 150 $63.60
90847 Family psychotherapy with the patient present, 50 minutes 501 376 $57.39
90619 5,579 5,353 $50.13
90656 2,036 1,985 $37.35
99201 117 114 $34.55
90750 139 136 $32.80
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 229 149 $32.00
87210 4,967 4,697 $25.10
76801 2,908 2,451 $21.00
90853 Group psychotherapy (other than of a multiple-family group) 734 454 $14.91
D1354 168 102 $14.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 805 760 $14.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 325 316 $13.49
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 58 58 $6.79
D0230 Intraoral - periapical each additional radiographic image 33 33 $4.48
83026 3,325 3,155 $2.41
57454 444 428 $2.00
99382 544 515 $1.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 887 843 $0.21
69209 138 138 $0.00
D4341 135 65 $0.00
96381 244 244 $0.00
S4993 Contraceptive pills for birth control 87 80 $0.00
3078F 14,422 12,997 $0.00
3046F 2,426 2,186 $0.00
0502F 12,301 6,861 $0.00
3050F 612 569 $0.00
3077F 5,405 4,969 $0.00
1159F 6,735 5,926 $0.00
3051F 2,056 1,942 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 147 143 $0.00
90746 654 645 $0.00
15853 157 152 $0.00
90380 672 635 $0.00
88164 64 45 $0.00
80305 27 27 $0.00
90672 26 26 $0.00
90863 191 95 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 49 49 $0.00
99188 27 27 $0.00
96160 157 156 $0.00
11983 24 24 $0.00
10060 15 15 $0.00
90661 3,935 3,839 $0.00
D0180 51 51 $0.00
90473 28 28 $0.00
D0270 12 12 $0.00
90687 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 296 274 $0.00
90744 525 515 $0.00
1036F 12,895 11,836 $0.00
94760 3,701 2,790 $0.00
3049F 728 675 $0.00
D0603 3,754 3,533 $0.00
3008F 48,085 42,774 $0.00
4015F 946 912 $0.00
1126F 361 338 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,706 2,545 $0.00
4010F 6,590 6,009 $0.00
D0601 1,888 1,741 $0.00
D1310 12 12 $0.00
D0602 1,056 994 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 249 134 $0.00
90381 989 865 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 114 97 $0.00
3075F 5,552 5,271 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 234 187 $0.00
3074F 14,437 12,971 $0.00
3044F 3,811 3,561 $0.00
3052F 1,229 1,150 $0.00
99459 435 428 $0.00
96380 1,112 1,110 $0.00
3079F 8,246 7,673 $0.00
3048F 1,686 1,599 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 91 81 $0.00
3080F 2,708 2,517 $0.00
58100 118 117 $0.00
99205 Prolong outpt/office vis 12 12 $0.00
84703 36 13 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 229 131 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 19 19 $0.00
17250 25 25 $0.00
86701 25 25 $0.00
1125F 27 27 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 46 46 $0.00