NPI: 1841661089 · CHICAGO, IL 60651 · Federally Qualified Health Center (FQHC) · NPI assigned 10/14/2015
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 10/14/2015 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,076 | $127K |
| 2019 | 5,852 | $197K |
| 2020 | 6,159 | $330K |
| 2021 | 5,821 | $312K |
| 2022 | 4,109 | $178K |
| 2023 | 3,063 | $155K |
| 2024 | 1,324 | $113K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 11,654 | 8,098 | $1.41M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 54 | 42 | $3K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,753 | 2,099 | $11.00 |
| 3074F | 2,238 | 1,533 | $7.00 | |
| 3078F | 1,788 | 1,261 | $6.00 | |
| 1126F | 2,732 | 2,090 | $3.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,337 | 3,516 | $1.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 244 | 176 | $0.00 |
| 3077F | 322 | 253 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 27 | 25 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14 | 14 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 56 | 37 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 55 | 50 | $0.00 |
| 3079F | 742 | 569 | $0.00 | |
| 1125F | 353 | 270 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 178 | 129 | $0.00 |
| 3075F | 126 | 100 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 161 | 108 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 285 | 255 | $0.00 |
| 90686 | 171 | 151 | $0.00 | |
| 90656 | 27 | 27 | $0.00 | |
| 3080F | 87 | 82 | $0.00 |