NPI: 1760552541 · CHICAGO, IL 60647 · Federally Qualified Health Center (FQHC) · NPI assigned 11/08/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/08/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,658 | $733K |
| 2019 | 37,299 | $1.04M |
| 2020 | 19,959 | $960K |
| 2021 | 14,517 | $814K |
| 2022 | 10,641 | $482K |
| 2023 | 10,613 | $488K |
| 2024 | 2,563 | $197K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 39,735 | 25,252 | $4.70M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 99 | 63 | $5K |
| 90651 | 249 | 201 | $1K | |
| 90734 | 149 | 126 | $658.95 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11,727 | 8,342 | $506.00 |
| 3078F | 6,812 | 4,003 | $428.00 | |
| 3074F | 7,471 | 4,354 | $418.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 13 | 13 | $330.00 |
| 90715 | 187 | 146 | $208.05 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10,915 | 7,940 | $135.00 |
| 90686 | 835 | 718 | $133.21 | |
| 90688 | 279 | 215 | $113.44 | |
| 90633 | 76 | 55 | $64.92 | |
| 1126F | 7,960 | 5,544 | $56.00 | |
| 81025 | 1,575 | 1,227 | $29.16 | |
| 3080F | 1,186 | 782 | $10.00 | |
| 3075F | 1,438 | 1,020 | $10.00 | |
| 90670 | 46 | 25 | $6.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6,904 | 4,941 | $6.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 236 | 196 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 240 | 197 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2,380 | 1,303 | $0.00 |
| 3077F | 1,768 | 1,283 | $0.00 | |
| 90461 | 709 | 243 | $0.00 | |
| 81002 | 904 | 679 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 761 | 210 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 718 | 395 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32 | 30 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 87 | 52 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 17 | 12 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 42 | 31 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 36 | 26 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16 | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 564 | 397 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 747 | 655 | $0.00 |
| 1125F | 1,762 | 1,269 | $0.00 | |
| 3079F | 2,620 | 1,879 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 558 | 451 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 184 | 135 | $0.00 |
| 90656 | 14 | 14 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 61 | 42 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 49 | 38 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 43 | 42 | $0.00 |
| 90620 | 46 | 39 | $0.00 |