NPI: 1992155022 · WAUKEGAN, IL 60085 · Federally Qualified Health Center (FQHC) · NPI assigned 06/20/2016
Authorized official COOPER, ANGELA controls 20+ related entities in our dataset. Read more
| Authorized Official | COOPER, ANGELA (CFO) |
| NPI Enumeration Date | 06/20/2016 |
Other providers sharing the same authorized official: COOPER, ANGELA
| Provider | City | State | Total Paid |
|---|---|---|---|
| COUNTY OF LAKE | WAUKEGAN | IL | $18.71M |
| COUNTY OF LAKE | WAUKEGAN | IL | $13.47M |
| COUNTY OF LAKE | ROUND LAKE BEACH | IL | $9.65M |
| COUNTY OF LAKE | WAUKEGAN | IL | $8.12M |
| COUNTY OF LAKE | ZION | IL | $7.14M |
| COUNTY OF LAKE | WAUKEGAN | IL | $6.41M |
| COUNTY OF LAKE | NORTH CHICAGO | IL | $6.09M |
| COUNTY OF LAKE | HIGHLAND PARK | IL | $5.24M |
| COUNTY OF LAKE | LIBERTYVILLE | IL | $4.70M |
| COUNTY OF LAKE | WAUKEGAN | IL | $4.00M |
| COUNTY OF LAKE | WAUKEGAN | IL | $3.35M |
| COUNTY OF LAKE | WAUKEGAN | IL | $2.40M |
| COUNTY OF LAKE | LIBERTYVILLE | IL | $2.24M |
| COUNTY OF LAKE | ROUND LAKE PARK | IL | $2.19M |
| COUNTY OF LAKE | ROUND LAKE | IL | $1.64M |
| COUNTY OF LAKE | WAUKEGAN | IL | $1.27M |
| COUNTY OF LAKE | WAUKEGAN | IL | $180K |
| COUNTY OF LAKE | WAUKEGAN | IL | $149K |
| COUNTY OF LAKE | VERNON HILLS | IL | $136K |
| COUNTY OF LAKE | WAUKEGAN | IL | $96K |
| 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 visit/encounter, all-inclusive | 19,561 | 8,983 | $2.00M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1,256 | 646 | $79K |
| 90832 | Psychotherapy, 30 minutes with patient | 5,791 | 3,026 | $402.84 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 793 | 281 | $303.30 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,958 | 2,855 | $159.19 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,217 | 3,536 | $151.06 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 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 | Psychotherapy, 45 minutes with patient | 72 | 46 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,497 | 1,071 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 146 | 101 | $0.00 |
| J2315 | Injection, naltrexone, depot form, 1 mg | 59 | 51 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 18 | 14 | $0.00 |