NPI: 1902811714 · JOLIET, IL 60433 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34,724 | $2.16M |
| 2019 | 66,906 | $3.10M |
| 2020 | 49,788 | $2.62M |
| 2021 | 49,637 | $3.05M |
| 2022 | 48,872 | $3.18M |
| 2023 | 49,035 | $3.27M |
| 2024 | 40,900 | $3.02M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 128,642 | 90,506 | $18.28M |
| D0999 | 12,927 | 11,349 | $1.49M | |
| 59409 | 447 | 275 | $424K | |
| 59514 | 109 | 67 | $104K | |
| T1040 | Comm bh clinic svc per diem | 1,163 | 967 | $81K |
| 90715 | 711 | 614 | $3K | |
| 90674 | 256 | 163 | $3K | |
| 99213 | 43,089 | 32,853 | $2K | |
| 99212 | 9,319 | 7,730 | $2K | |
| 90710 | 74 | 64 | $2K | |
| 90688 | 239 | 172 | $2K | |
| 0011A | 17 | 16 | $686.42 | |
| 99214 | 19,988 | 16,430 | $663.35 | |
| 90682 | 62 | 53 | $560.10 | |
| 0012A | 12 | 12 | $490.70 | |
| 99202 | 2,148 | 1,787 | $435.20 | |
| 0502F | 10,148 | 5,932 | $308.70 | |
| 90792 | 6,157 | 5,403 | $290.32 | |
| 90734 | 62 | 58 | $222.00 | |
| 99203 | 3,176 | 2,894 | $166.40 | |
| 90633 | 622 | 601 | $153.72 | |
| G0008 | Admin influenza virus vac | 989 | 797 | $153.60 |
| 99441 | 3,923 | 3,685 | $144.34 | |
| 99391 | 3,399 | 3,053 | $133.82 | |
| D1206 | 3,435 | 3,363 | $102.63 | |
| D2391 | 1,081 | 924 | $102.63 | |
| 81002 | 24,438 | 14,573 | $41.60 | |
| 90853 | 214 | 168 | $33.70 | |
| 81025 | 9,287 | 7,897 | $5.16 | |
| 99442 | 5,941 | 5,075 | $1.00 | |
| D0230 | 277 | 272 | $0.00 | |
| D0601 | 728 | 706 | $0.00 | |
| 99381 | 691 | 654 | $0.00 | |
| D0603 | 1,127 | 1,095 | $0.00 | |
| D0120 | 3,591 | 3,515 | $0.00 | |
| 90647 | 46 | 45 | $0.00 | |
| 90677 | 380 | 365 | $0.00 | |
| D0272 | 202 | 196 | $0.00 | |
| D0150 | 2,473 | 2,449 | $0.00 | |
| D0140 | 1,733 | 1,687 | $0.00 | |
| 90471 | 3,257 | 2,993 | $0.00 | |
| D2392 | 1,149 | 960 | $0.00 | |
| 90698 | 383 | 372 | $0.00 | |
| D7140 | 1,653 | 1,176 | $0.00 | |
| D0210 | 277 | 276 | $0.00 | |
| 88142 | 212 | 178 | $0.00 | |
| 0500F | 26 | 26 | $0.00 | |
| 90697 | 576 | 552 | $0.00 | |
| D1351 | 305 | 175 | $0.00 | |
| 99443 | 1,718 | 1,345 | $0.00 | |
| 90716 | 123 | 121 | $0.00 | |
| 90686 | 655 | 620 | $0.00 | |
| 90651 | 357 | 341 | $0.00 | |
| 99383 | 226 | 225 | $0.00 | |
| D0602 | 415 | 398 | $0.00 | |
| 90656 | 100 | 98 | $0.00 | |
| 99384 | 193 | 190 | $0.00 | |
| 99000 | 109 | 97 | $0.00 | |
| 90744 | 126 | 120 | $0.00 | |
| G0009 | Admin pneumococcal vaccine | 52 | 51 | $0.00 |
| 90696 | 25 | 25 | $0.00 | |
| 90723 | 14 | 12 | $0.00 | |
| 88738 | 90 | 58 | $0.00 | |
| 90619 | 28 | 28 | $0.00 | |
| 90620 | 42 | 40 | $0.00 | |
| D0274 | 1,626 | 1,586 | $0.00 | |
| D0220 | 1,991 | 1,926 | $0.00 | |
| 99204 | 1,561 | 1,494 | $0.00 | |
| 99394 | 455 | 437 | $0.00 | |
| 90832 | 4,129 | 3,241 | $0.00 | |
| D4341 | 117 | 75 | $0.00 | |
| D1120 | 3,267 | 3,200 | $0.00 | |
| 99392 | 1,728 | 1,636 | $0.00 | |
| D1110 | 1,461 | 1,438 | $0.00 | |
| D0270 | 317 | 315 | $0.00 | |
| 90681 | 645 | 615 | $0.00 | |
| D0330 | 1,079 | 1,078 | $0.00 | |
| 90472 | 1,260 | 1,228 | $0.00 | |
| 99215 | Prolong outpt/office vis | 2,747 | 2,139 | $0.00 |
| 99393 | 587 | 543 | $0.00 | |
| 90670 | 659 | 631 | $0.00 | |
| 90707 | 69 | 64 | $0.00 | |
| 90837 | 713 | 500 | $0.00 | |
| J1050 | Medroxyprogesterone acetate | 17 | 13 | $0.00 |