NPI: 1972674315 · CHICAGO, IL 60623 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/09/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,485 | $360K |
| 2019 | 15,597 | $520K |
| 2020 | 4,281 | $185K |
| 2021 | 6,235 | $267K |
| 2022 | 11,758 | $396K |
| 2023 | 7,055 | $218K |
| 2024 | 797 | $34K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 16,546 | 12,691 | $1.96M |
| 99000 | 629 | 599 | $15K | |
| 91320 | 26 | 26 | $1K | |
| 90686 | 1,568 | 1,457 | $539.24 | |
| 90734 | 152 | 142 | $482.06 | |
| 90688 | 272 | 261 | $142.72 | |
| 3079F | 187 | 154 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 14 | 14 | $0.00 |
| 1126F | 8,326 | 6,694 | $0.00 | |
| 1125F | 992 | 863 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,881 | 3,302 | $0.00 |
| 90698 | 44 | 41 | $0.00 | |
| 3074F | 2,473 | 1,903 | $0.00 | |
| 86580 | 263 | 216 | $0.00 | |
| 90651 | 105 | 100 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 196 | 177 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 430 | 400 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 234 | 189 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 99 | 87 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 51 | 50 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 751 | 677 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 185 | 151 | $0.00 |
| 3078F | 2,175 | 1,694 | $0.00 | |
| 90461 | 713 | 327 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 871 | 792 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,296 | 2,525 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7,370 | 6,301 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 750 | 692 | $0.00 |
| 90670 | 61 | 40 | $0.00 | |
| 81002 | 88 | 80 | $0.00 | |
| 81025 | 200 | 177 | $0.00 | |
| 0502F | 105 | 72 | $0.00 | |
| 90715 | 88 | 76 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 55 | 54 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12 | 12 | $0.00 |