NPI: 1982783338 · CHICAGO, IL 60626 · Federally Qualified Health Center (FQHC) · NPI assigned 11/06/2006
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (CEO) |
| NPI Enumeration Date | 11/06/2006 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,513 | $495K |
| 2019 | 31,122 | $883K |
| 2020 | 24,777 | $960K |
| 2021 | 22,476 | $831K |
| 2022 | 15,335 | $406K |
| 2023 | 14,207 | $507K |
| 2024 | 2,307 | $150K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 35,210 | 23,139 | $4.22M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 183 | 117 | $8K |
| 90670 | 766 | 635 | $2K | |
| 90698 | 672 | 568 | $690.02 | |
| 90651 | 245 | 213 | $614.61 | |
| 90734 | 111 | 101 | $519.20 | |
| 90715 | 386 | 329 | $296.88 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11,649 | 8,269 | $206.00 |
| 90633 | 180 | 158 | $185.75 | |
| 90688 | 92 | 73 | $178.40 | |
| 3074F | 8,983 | 5,918 | $157.00 | |
| 3078F | 8,212 | 5,447 | $153.00 | |
| 90686 | 2,397 | 2,177 | $127.15 | |
| 1126F | 12,395 | 9,210 | $101.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,783 | 4,398 | $66.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 531 | 310 | $53.25 |
| 3077F | 1,934 | 1,417 | $39.00 | |
| 3079F | 3,700 | 2,762 | $36.00 | |
| 3080F | 1,158 | 867 | $35.00 | |
| 3075F | 2,267 | 1,717 | $28.00 | |
| 81002 | 1,666 | 1,288 | $16.00 | |
| 81025 | 1,156 | 947 | $8.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,626 | 3,612 | $3.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 774 | 642 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5,154 | 3,365 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 417 | 393 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 455 | 223 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 921 | 854 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,374 | 1,186 | $0.00 |
| 0502F | 1,067 | 669 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 120 | 109 | $0.00 |
| 90461 | 2,781 | 1,281 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 307 | 276 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 452 | 344 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 45 | 42 | $0.00 |
| 90710 | 54 | 53 | $0.00 | |
| 99215 | Prolong outpt/office vis | 43 | 28 | $0.00 |
| 90685 | 20 | 13 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28 | 28 | $0.00 |
| 90681 | 15 | 13 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,048 | 920 | $0.00 |
| 90696 | 55 | 51 | $0.00 | |
| 90656 | 30 | 30 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 695 | 582 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 65 | 51 | $0.00 |
| 1125F | 923 | 678 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 59 | 58 | $0.00 |
| 90744 | 54 | 54 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 467 | 426 | $0.00 |
| 82962 | 12 | 12 | $0.00 |