NPI: 1902355316 · ADDISON, IL 60101 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17,635 | $796K |
| 2020 | 4,725 | $277K |
| 2021 | 5,959 | $406K |
| 2022 | 2,834 | $239K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 11,986 | 8,636 | $1.70M |
| 90651 | 138 | 120 | $4K | |
| 90716 | 268 | 243 | $3K | |
| 90734 | 245 | 224 | $2K | |
| 90670 | 482 | 467 | $2K | |
| 90707 | 229 | 212 | $1K | |
| 90633 | 336 | 312 | $664.93 | |
| 90723 | 305 | 292 | $438.15 | |
| 90715 | 52 | 48 | $306.94 | |
| 90696 | 54 | 53 | $268.16 | |
| 90700 | 77 | 70 | $188.08 | |
| 90648 | 477 | 460 | $169.10 | |
| 99392 | 907 | 845 | $155.74 | |
| 99393 | 841 | 775 | $153.68 | |
| 99391 | 606 | 540 | $139.04 | |
| 99213 | 3,954 | 3,297 | $93.12 | |
| 96110 | 1,878 | 1,686 | $74.17 | |
| 90680 | 206 | 195 | $38.40 | |
| 96127 | 709 | 418 | $14.60 | |
| 99173 | 1,159 | 1,130 | $7.45 | |
| 86580 | 152 | 132 | $4.00 | |
| 0502F | 1,226 | 456 | $0.00 | |
| 99394 | 584 | 553 | $0.00 | |
| 81002 | 303 | 160 | $0.00 | |
| 99212 | 1,889 | 1,506 | $0.00 | |
| 96160 | 224 | 178 | $0.00 | |
| 99395 | 12 | 12 | $0.00 | |
| H1000 | Prenatal care atrisk assessm | 183 | 98 | $0.00 |
| 81025 | 81 | 75 | $0.00 | |
| 97803 | 49 | 40 | $0.00 | |
| 90649 | 15 | 14 | $0.00 | |
| 82962 | 124 | 81 | $0.00 | |
| 99214 | 99 | 93 | $0.00 | |
| 85018 | 123 | 81 | $0.00 | |
| 90686 | 879 | 862 | $0.00 | |
| 97802 | 75 | 68 | $0.00 | |
| 99058 | 166 | 146 | $0.00 | |
| 90620 | 47 | 44 | $0.00 | |
| 99381 | 13 | 13 | $0.00 |