NPI: 1871763375 · CHICAGO, IL 60645 · Federally Qualified Health Center (FQHC) · NPI assigned 03/11/2008
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 03/11/2008 |
Other providers sharing the same authorized official: WILLIS, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAPESTRY 360 HEALTH | CHICAGO | IL | $64.09M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $1.41M |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $582K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $540K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $498K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $337K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $319K |
| TAPESTRY 360 HEALTH | SKOKIE | IL | $252K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $240K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $195K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $145K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $131K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $68K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $51K |
| TAPESTRY 360 HEALTH | CHICAGO | IL | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 331 | $30K |
| 2019 | 1,595 | $58K |
| 2020 | 1,103 | $84K |
| 2021 | 696 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,258 | 1,357 | $229K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 958 | 619 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 146 | 84 | $0.00 |
| 90686 | 105 | 63 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 243 | 206 | $0.00 |