NPI: 1871671990 · SUMMIT, IL 60501 · 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 | 14,702 | $617K |
| 2019 | 36,120 | $1.04M |
| 2020 | 25,570 | $1.01M |
| 2021 | 27,596 | $1.09M |
| 2022 | 18,938 | $581K |
| 2023 | 22,781 | $787K |
| 2024 | 4,328 | $244K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 44,101 | 31,027 | $5.34M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 209 | 145 | $10K |
| 90651 | 556 | 425 | $10K | |
| 90734 | 621 | 535 | $2K | |
| 91322 | 12 | 12 | $2K | |
| 90670 | 543 | 425 | $1K | |
| 90620 | 51 | 46 | $687.20 | |
| 90688 | 165 | 133 | $500.88 | |
| 90715 | 673 | 572 | $369.64 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16,245 | 12,187 | $331.80 |
| 90633 | 211 | 178 | $257.07 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,049 | 4,170 | $93.00 |
| 90698 | 357 | 265 | $92.58 | |
| 1126F | 14,857 | 11,484 | $88.00 | |
| 3074F | 10,980 | 7,613 | $83.00 | |
| 3078F | 9,591 | 6,728 | $79.00 | |
| 90686 | 2,662 | 2,266 | $69.89 | |
| 3079F | 4,175 | 3,186 | $50.00 | |
| 1125F | 3,122 | 2,439 | $45.00 | |
| 3077F | 1,449 | 1,157 | $45.00 | |
| 3075F | 2,006 | 1,572 | $23.00 | |
| 3080F | 662 | 510 | $22.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 281 | 262 | $14.00 |
| 81002 | 1,707 | 1,421 | $7.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 136 | 116 | $2.00 |
| 81025 | 892 | 695 | $2.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,345 | 1,155 | $0.00 |
| 85018 | 1,262 | 1,058 | $0.00 | |
| 90696 | 29 | 24 | $0.00 | |
| 86580 | 26 | 20 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 757 | 680 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 986 | 828 | $0.00 |
| 90656 | 32 | 32 | $0.00 | |
| 90744 | 59 | 43 | $0.00 | |
| 99383 | 56 | 43 | $0.00 | |
| 90716 | 14 | 12 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 17 | 16 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 31 | 27 | $0.00 |
| 99384 | 15 | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 392 | 291 | $0.00 |
| 90461 | 3,028 | 1,473 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 379 | 288 | $0.00 |
| 0502F | 1,632 | 956 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8,421 | 6,510 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 525 | 441 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 654 | 583 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 785 | 628 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 381 | 341 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,456 | 1,140 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5,714 | 3,792 | $0.00 |
| 90710 | 45 | 40 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 381 | 321 | $0.00 |
| 90681 | 18 | 15 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 125 | 101 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 129 | 127 | $0.00 |
| 90707 | 28 | 25 | $0.00 |