NPI: 1891142451 · CHICAGO, IL 60640 · Federally Qualified Health Center (FQHC) · NPI assigned 05/24/2016
Authorized official WILLIS, NICOLE controls 15+ related entities in our dataset. Read more
| Authorized Official | WILLIS, NICOLE (CEO) |
| NPI Enumeration Date | 05/24/2016 |
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 | $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 | $229K |
| 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 | 2,139 | $119K |
| 2019 | 5,074 | $218K |
| 2020 | 2,248 | $154K |
| 2021 | 633 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,694 | 2,816 | $540K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,512 | 2,186 | $429.18 |
| 90686 | 149 | 78 | $76.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 274 | 211 | $0.00 |
| 82948 | 699 | 460 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 177 | 91 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 128 | 95 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 461 | 280 | $0.00 |