NPI: 1790247476 · CHICAGO, IL 60634 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 19,296 | $967K |
| 2020 | 39,389 | $2.45M |
| 2021 | 56,003 | $2.12M |
| 2022 | 65,326 | $2.09M |
| 2023 | 63,392 | $2.07M |
| 2024 | 55,728 | $1.99M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 81,220 | 50,925 | $11.33M |
| T1040 | Comm bh clinic svc per diem | 3,033 | 2,149 | $196K |
| D0999 | 1,313 | 1,166 | $141K | |
| 0012A | 134 | 100 | $5K | |
| 0011A | 129 | 101 | $4K | |
| 90686 | 2,819 | 2,395 | $3K | |
| 90677 | 266 | 256 | $1K | |
| 99213 | 44,008 | 30,538 | $1K | |
| 0001A | 21 | 21 | $884.94 | |
| 90715 | 660 | 563 | $535.24 | |
| 90791 | 2,172 | 1,719 | $189.16 | |
| 99214 | 8,174 | 7,009 | $64.00 | |
| 90832 | 6,447 | 4,393 | $44.11 | |
| 99212 | 3,307 | 2,256 | $36.00 | |
| 81025 | 1,383 | 1,206 | $27.32 | |
| 99394 | 842 | 778 | $26.00 | |
| 96110 | 802 | 687 | $20.00 | |
| 99393 | 779 | 695 | $19.00 | |
| 81002 | 812 | 656 | $18.20 | |
| 90656 | 63 | 59 | $16.71 | |
| 99202 | 217 | 161 | $13.00 | |
| 90792 | 617 | 423 | $13.00 | |
| 99203 | 1,082 | 922 | $11.00 | |
| 87880 | 344 | 258 | $10.00 | |
| 99392 | 480 | 417 | $8.00 | |
| 3725F | 16,101 | 14,169 | $1.00 | |
| 3078F | 15,703 | 13,659 | $1.00 | |
| 1160F | 19,096 | 16,071 | $1.00 | |
| 3077F | 2,348 | 2,091 | $1.00 | |
| 3008F | 22,520 | 19,261 | $1.00 | |
| 1036F | 18,184 | 15,515 | $1.00 | |
| 99396 | 229 | 216 | $0.00 | |
| 3051F | 43 | 41 | $0.00 | |
| 90837 | 1,345 | 700 | $0.00 | |
| D1120 | 165 | 157 | $0.00 | |
| 0502F | 430 | 275 | $0.00 | |
| 99215 | Prolong outpt/office vis | 529 | 513 | $0.00 |
| 90472 | 41 | 41 | $0.00 | |
| 99391 | 117 | 107 | $0.00 | |
| D0220 | 169 | 157 | $0.00 | |
| 2028F | 24 | 24 | $0.00 | |
| 99395 | 174 | 168 | $0.00 | |
| 90648 | 13 | 12 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 12 | 12 | $0.00 |
| 99201 | 31 | 14 | $0.00 | |
| 93000 | 301 | 250 | $0.00 | |
| 3075F | 3,465 | 3,174 | $0.00 | |
| 87426 | 145 | 144 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 1,352 | 1,292 | $0.00 |
| 3074F | 16,342 | 14,249 | $0.00 | |
| D0150 | 143 | 138 | $0.00 | |
| 90834 | 2,048 | 922 | $0.00 | |
| 96127 | 8,836 | 7,991 | $0.00 | |
| 3080F | 793 | 732 | $0.00 | |
| D0230 | 69 | 54 | $0.00 | |
| D1206 | 164 | 156 | $0.00 | |
| D0120 | 164 | 161 | $0.00 | |
| 99383 | 14 | 12 | $0.00 | |
| G0467 | Fqhc visit, estab pt | 13 | 13 | $0.00 |
| 3079F | 5,460 | 4,945 | $0.00 | |
| 96372 | 374 | 311 | $0.00 | |
| 3044F | 86 | 83 | $0.00 | |
| 99385 | 66 | 65 | $0.00 | |
| 90471 | 799 | 747 | $0.00 | |
| 1126F | 61 | 52 | $0.00 | |
| 87428 | 12 | 12 | $0.00 | |
| D0140 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 16 | $0.00 |