NPI: 1992155022 · WAUKEGAN, IL 60085 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,348 | $187K |
| 2019 | 12,855 | $350K |
| 2020 | 7,549 | $345K |
| 2021 | 5,442 | $296K |
| 2022 | 5,144 | $306K |
| 2023 | 6,159 | $338K |
| 2024 | 3,827 | $262K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 19,561 | 8,983 | $2.00M |
| T1040 | Comm bh clinic svc per diem | 1,256 | 646 | $79K |
| 90832 | 5,791 | 3,026 | $402.84 | |
| 90853 | 793 | 281 | $303.30 | |
| 99213 | 4,958 | 2,855 | $159.19 | |
| 99214 | 4,217 | 3,536 | $151.06 | |
| 96372 | 646 | 540 | $127.53 | |
| 80305 | 2,400 | 1,442 | $26.70 | |
| 82075 | 2,001 | 1,326 | $14.92 | |
| 81025 | 892 | 510 | $2.58 | |
| 90686 | 17 | 13 | $0.00 | |
| 90834 | 72 | 46 | $0.00 | |
| 99212 | 1,497 | 1,071 | $0.00 | |
| 90791 | 146 | 101 | $0.00 | |
| J2315 | Naltrexone, depot form | 59 | 51 | $0.00 |
| 90837 | 18 | 14 | $0.00 |