NPI: 1780754523 · CHICAGO, IL 60608 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/09/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,882 | $1.04M |
| 2019 | 60,827 | $1.61M |
| 2020 | 43,848 | $1.51M |
| 2021 | 35,814 | $1.29M |
| 2022 | 27,190 | $826K |
| 2023 | 26,519 | $898K |
| 2024 | 7,491 | $428K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 60,565 | 42,925 | $7.56M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 211 | 151 | $11K |
| 90651 | 1,892 | 1,598 | $8K | |
| 90734 | 1,240 | 1,081 | $5K | |
| D1120 | Prophylaxis - child | 74 | 70 | $3K |
| D0120 | Periodic oral evaluation - established patient | 89 | 79 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 73 | 67 | $2K |
| 90620 | 187 | 162 | $2K | |
| 90670 | 1,404 | 1,161 | $2K | |
| 90686 | 6,236 | 5,567 | $926.58 | |
| 90715 | 1,151 | 983 | $883.27 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22,919 | 17,497 | $558.70 |
| D0220 | Intraoral - periapical first radiographic image | 106 | 95 | $543.20 |
| 90723 | 769 | 653 | $511.60 | |
| 90696 | 281 | 222 | $506.35 | |
| D0230 | Intraoral - periapical each additional radiographic image | 101 | 91 | $467.40 |
| 90688 | 154 | 124 | $447.36 | |
| 3074F | 11,596 | 8,184 | $315.00 | |
| 1126F | 22,003 | 17,373 | $306.00 | |
| 3078F | 10,958 | 7,776 | $277.00 | |
| 90648 | 1,379 | 1,142 | $272.75 | |
| 90633 | 801 | 676 | $260.67 | |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $169.00 |
| 81025 | 3,196 | 2,524 | $140.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,121 | 5,543 | $97.00 |
| 1125F | 4,350 | 3,425 | $91.00 | |
| 90707 | 19 | 13 | $75.04 | |
| 3079F | 3,620 | 2,773 | $63.00 | |
| 90700 | 74 | 63 | $56.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 757 | 538 | $46.00 |
| 85018 | 6,182 | 5,381 | $34.32 | |
| 3077F | 1,577 | 1,235 | $30.00 | |
| 81002 | 2,846 | 2,035 | $27.00 | |
| 3080F | 645 | 520 | $25.00 | |
| 3075F | 2,094 | 1,637 | $19.00 | |
| 90710 | 839 | 661 | $16.40 | |
| 90461 | 4,052 | 1,873 | $10.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2,950 | 2,444 | $10.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11,758 | 8,262 | $10.00 |
| 85014 | 4,142 | 3,644 | $10.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,288 | 1,936 | $10.00 |
| 86580 | 409 | 326 | $9.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7,817 | 6,400 | $5.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,242 | 1,033 | $1.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,096 | 2,700 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,265 | 1,086 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,196 | 853 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,161 | 977 | $0.00 |
| 0502F | 1,331 | 713 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2,066 | 1,724 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4,017 | 3,449 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 75 | 53 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 304 | 285 | $0.00 |
| 90685 | 185 | 138 | $0.00 | |
| 90681 | 152 | 119 | $0.00 | |
| 99215 | Prolong outpt/office vis | 97 | 73 | $0.00 |
| 90672 | 29 | 25 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 14 | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,570 | 1,417 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2,253 | 1,916 | $0.00 |
| 99381 | 12 | 12 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 306 | 237 | $0.00 |
| 90656 | 141 | 141 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 14 | 13 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 13 | 13 | $0.00 |
| 90677 | 32 | 32 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 18 | 14 | $0.00 |
| 99383 | 30 | 30 | $0.00 |