NPI: 1790855187 · 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 | 16,220 | $642K |
| 2019 | 36,475 | $1.02M |
| 2020 | 27,597 | $1.02M |
| 2021 | 21,534 | $851K |
| 2022 | 15,087 | $540K |
| 2023 | 15,915 | $619K |
| 2024 | 3,375 | $237K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 39,602 | 27,784 | $4.92M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 55 | 39 | $3K |
| 90651 | 743 | 645 | $3K | |
| 90734 | 430 | 399 | $513.43 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16,188 | 12,563 | $261.35 |
| 90715 | 426 | 361 | $251.13 | |
| 90658 | 24 | 13 | $249.30 | |
| 90686 | 2,444 | 2,183 | $238.36 | |
| 90688 | 572 | 481 | $173.36 | |
| 3074F | 7,767 | 5,606 | $168.00 | |
| 1126F | 15,981 | 12,365 | $143.00 | |
| 3078F | 7,035 | 5,141 | $141.00 | |
| 90633 | 352 | 313 | $128.12 | |
| 1125F | 3,861 | 3,051 | $52.00 | |
| 3079F | 2,334 | 1,791 | $46.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,821 | 2,194 | $38.00 |
| 3075F | 1,016 | 806 | $27.00 | |
| 81025 | 1,677 | 1,360 | $21.58 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,079 | 913 | $11.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7,361 | 5,810 | $10.00 |
| 85018 | 346 | 276 | $3.32 | |
| 81002 | 1,598 | 1,191 | $3.00 | |
| 3077F | 790 | 628 | $3.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 360 | 280 | $0.00 |
| 86580 | 52 | 42 | $0.00 | |
| 90656 | 39 | 39 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 117 | 102 | $0.00 |
| 90698 | 111 | 87 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 342 | 255 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1,564 | 1,238 | $0.00 |
| 3080F | 180 | 148 | $0.00 | |
| 90744 | 54 | 50 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 741 | 663 | $0.00 |
| 90680 | 91 | 89 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 45 | 43 | $0.00 |
| 90696 | 14 | 14 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,043 | 876 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 382 | 342 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6,518 | 4,353 | $0.00 |
| 90670 | 577 | 499 | $0.00 | |
| 90461 | 2,937 | 1,388 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,385 | 1,207 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,558 | 1,397 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,423 | 1,232 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 89 | 82 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 162 | 136 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,110 | 784 | $0.00 |
| 90672 | 139 | 132 | $0.00 | |
| 0502F | 398 | 240 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 216 | 190 | $0.00 |
| 90710 | 12 | 12 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 42 | 34 | $0.00 |