NPI: 1871117937 · CHICAGO, IL 60622 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 468 | $34K |
| 2021 | 22,615 | $907K |
| 2022 | 40,958 | $1.38M |
| 2023 | 48,117 | $1.50M |
| 2024 | 34,626 | $1.49M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 30,649 | 25,861 | $5.29M |
| T1040 | Comm bh clinic svc per diem | 262 | 232 | $18K |
| 87426 | 350 | 343 | $211.98 | |
| 87880 | 1,135 | 1,106 | $31.40 | |
| 90686 | 14 | 13 | $25.43 | |
| 1036F | 8,680 | 7,965 | $4.00 | |
| 1160F | 16,543 | 14,639 | $4.00 | |
| 99212 | 1,649 | 1,510 | $3.00 | |
| 99213 | 12,143 | 10,931 | $2.00 | |
| 96127 | 1,450 | 1,389 | $0.00 | |
| 99383 | 665 | 618 | $0.00 | |
| 3008F | 19,928 | 17,799 | $0.00 | |
| 90620 | 13 | 13 | $0.00 | |
| 3074F | 12,934 | 11,911 | $0.00 | |
| 99384 | 579 | 543 | $0.00 | |
| 3075F | 176 | 166 | $0.00 | |
| 96110 | 6,584 | 6,314 | $0.00 | |
| 99381 | 326 | 322 | $0.00 | |
| 90381 | 37 | 35 | $0.00 | |
| 93000 | 68 | 66 | $0.00 | |
| 99214 | 192 | 191 | $0.00 | |
| 94640 | 27 | 27 | $0.00 | |
| 90680 | 89 | 79 | $0.00 | |
| 3079F | 618 | 588 | $0.00 | |
| 90677 | 129 | 116 | $0.00 | |
| 87428 | 175 | 159 | $0.00 | |
| 99202 | 206 | 205 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 106 | 102 | $0.00 |
| 90656 | 313 | 292 | $0.00 | |
| 90697 | 34 | 30 | $0.00 | |
| 90716 | 20 | 18 | $0.00 | |
| J7613 | Albuterol non-comp unit | 12 | 12 | $0.00 |
| 99392 | 3,201 | 3,093 | $0.00 | |
| 81002 | 179 | 173 | $0.00 | |
| 99391 | 3,788 | 3,339 | $0.00 | |
| 99394 | 2,408 | 2,320 | $0.00 | |
| 3078F | 12,620 | 11,635 | $0.00 | |
| 3725F | 4,664 | 4,450 | $0.00 | |
| 99393 | 2,857 | 2,756 | $0.00 | |
| 99203 | 294 | 285 | $0.00 | |
| 90380 | 39 | 33 | $0.00 | |
| 90832 | 132 | 116 | $0.00 | |
| 90633 | 73 | 68 | $0.00 | |
| 90791 | 111 | 111 | $0.00 | |
| 99382 | 208 | 197 | $0.00 | |
| 99188 | 36 | 33 | $0.00 | |
| 90700 | 17 | 17 | $0.00 | |
| 90648 | 13 | 13 | $0.00 | |
| 90649 | 19 | 19 | $0.00 | |
| 90707 | 19 | 17 | $0.00 |