NPI: 1790863827 · CHICAGO, IL 60638 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,323 | $517K |
| 2019 | 28,717 | $793K |
| 2020 | 24,677 | $859K |
| 2021 | 23,524 | $832K |
| 2022 | 16,728 | $494K |
| 2023 | 14,546 | $444K |
| 2024 | 3,250 | $196K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 33,812 | 25,031 | $4.13M |
| 90620 | 199 | 141 | $2K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 16 | 15 | $1K |
| 90651 | 110 | 91 | $627.41 | |
| 90734 | 154 | 130 | $253.90 | |
| 1126F | 15,258 | 11,865 | $161.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11,806 | 9,556 | $159.00 |
| 90715 | 400 | 337 | $155.65 | |
| 3078F | 10,903 | 8,018 | $145.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,532 | 1,253 | $129.97 |
| 3074F | 10,320 | 7,543 | $112.00 | |
| 3075F | 2,623 | 2,103 | $63.00 | |
| 90688 | 92 | 82 | $42.08 | |
| 3079F | 2,798 | 2,251 | $42.00 | |
| 1125F | 2,770 | 2,241 | $41.00 | |
| 90686 | 1,905 | 1,723 | $19.03 | |
| 3077F | 1,430 | 1,176 | $16.00 | |
| 82962 | 1,086 | 919 | $6.00 | |
| 3080F | 489 | 406 | $4.00 | |
| 85018 | 794 | 659 | $4.00 | |
| 86580 | 296 | 239 | $2.00 | |
| 81025 | 1,362 | 1,148 | $2.00 | |
| 90461 | 1,427 | 712 | $1.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 500 | 446 | $1.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8,570 | 6,883 | $1.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,853 | 2,369 | $1.00 |
| 81002 | 514 | 457 | $1.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,412 | 1,248 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 261 | 225 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 917 | 720 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 804 | 737 | $0.00 |
| 90744 | 42 | 28 | $0.00 | |
| 90680 | 45 | 24 | $0.00 | |
| 90656 | 51 | 51 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 21 | 20 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 547 | 441 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 440 | 369 | $0.00 |
| 0502F | 1,645 | 981 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 240 | 197 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 325 | 278 | $0.00 |
| 90700 | 62 | 32 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 442 | 396 | $0.00 |
| 90713 | 57 | 27 | $0.00 | |
| 90670 | 234 | 200 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 49 | 42 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25 | 25 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 78 | 67 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 16 | 12 | $0.00 |
| 90648 | 33 | 17 | $0.00 |