Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

COOK COUNTY

Clinic/Center, Multi-Specialty·CHICAGO, IL·NPI: 1245350040Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $85.9M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$85.9M

$85,908,118

Total Claims

503K

Beneficiaries

365K

1.4 claims/patient

Avg Cost/Claim

$171

Monthly Spending Trend

Yearly Spending

2018
$25.8M
+31%
2019
$33.7M
-66%
2020
$11.4M
-62%
2021
$4.3M
-17%
2022
$3.6M
+13%
2023
$4.0M
-26%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 100% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$85.5M

255K claims · 99.5%

Your Cost: $335.18/claim|Median: $121.16
2.8× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$94K

52K claims · 0.1%

Your Cost: $1.80/claim|Median: $53.41
0.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$87K

70K claims · 0.1%

Your Cost: $1.25/claim|Median: $37.81
0.0× median
90747Normal range

$40K

631 claims · 0.0%

Your Cost: $63.42/claim|Median: $36.38
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$28K

18K claims · 0.0%

Your Cost: $1.54/claim|Median: $74.09
0.0× median
11721Top 25%

$21K

1,416 claims · 0.0%

Your Cost: $15.00/claim|Median: $8.56
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$18K

4,199 claims · 0.0%

Your Cost: $4.20/claim|Median: $9.56
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$11K

15K claims · 0.0%

Your Cost: $0.78/claim|Median: $25.06
0.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$10K

10K claims · 0.0%

Your Cost: $1.04/claim|Median: $57.85
0.0× median
90670Top 25%

$9K

676 claims · 0.0%

Your Cost: $13.10/claim|Median: $5.94
2.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$8K

10K claims · 0.0%

Your Cost: $0.79/claim|Median: $38.23
0.0× median
90674Normal range

$8K

3,153 claims · 0.0%

Your Cost: $2.56/claim|Median: $15.16
0.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$7K

4,515 claims · 0.0%

Your Cost: $1.54/claim|Median: $84.03
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$7K

13K claims · 0.0%

Your Cost: $0.52/claim|Median: $12.93
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$7K

8,324 claims · 0.0%

Your Cost: $0.80/claim|Median: $40.11
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$4K

4,198 claims · 0.0%

Your Cost: $0.87/claim|Median: $27.38
0.0× median
92134Normal range

$4K

2,704 claims · 0.0%

Your Cost: $1.32/claim|Median: $15.46
0.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$3K

132 claims · 0.0%

Your Cost: $25.87/claim|Median: $41.92
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$3K

1,236 claims · 0.0%

Your Cost: $2.46/claim|Median: $111.09
0.0× median
92015Normal range

Determination of refractive state

$3K

1,970 claims · 0.0%

Your Cost: $1.35/claim|Median: $10.36
0.1× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$2K

423 claims · 0.0%

Your Cost: $5.72/claim|Median: $36.96
0.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$2K

10K claims · 0.0%

Your Cost: $0.23/claim|Median: $9.80
0.0× median
92250Normal range

Fundus photography with interpretation and report

$2K

427 claims · 0.0%

Your Cost: $4.37/claim|Median: $27.95
0.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$2K

894 claims · 0.0%

Your Cost: $2.06/claim|Median: $29.82
0.1× median
96402Normal range

$1K

684 claims · 0.0%

Your Cost: $2.04/claim|Median: $20.95
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1K

736 claims · 0.0%

Your Cost: $1.84/claim|Median: $69.35
0.0× median
90715Normal range

Tdap vaccine

$1K

588 claims · 0.0%

Your Cost: $2.14/claim|Median: $10.32
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$1K

2,899 claims · 0.0%

Your Cost: $0.42/claim|Median: $11.79
0.0× median
90630Normal range

$1K

908 claims · 0.0%

Your Cost: $1.17/claim|Median: $11.50
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$978

2,710 claims · 0.0%

Your Cost: $0.36/claim|Median: $47.08
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$786

401 claims · 0.0%

Your Cost: $1.96/claim|Median: $63.65
0.0× median
92133Normal range

$671

832 claims · 0.0%

Your Cost: $0.81/claim|Median: $19.09
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$623

166 claims · 0.0%

Your Cost: $3.75/claim|Median: $75.18
0.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$460

428 claims · 0.0%

Your Cost: $1.07/claim|Median: $121.58
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$366

330 claims · 0.0%

Your Cost: $1.11/claim|Median: $99.21
0.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$249

378 claims · 0.0%

Your Cost: $0.66/claim|Median: $108.91
0.0× median
92002Normal range

Intermediate eye exam, new patient

$138

411 claims · 0.0%

Your Cost: $0.34/claim|Median: $41.61
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$133

272 claims · 0.0%

Your Cost: $0.49/claim|Median: $85.66
0.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$130

222 claims · 0.0%

Your Cost: $0.59/claim|Median: $7.50
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$118

126 claims · 0.0%

Your Cost: $0.94/claim|Median: $7.18
0.1× median
96900Normal range

$112

100 claims · 0.0%

Your Cost: $1.12/claim|Median: $15.84
0.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$101

185 claims · 0.0%

Your Cost: $0.55/claim|Median: $82.43
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$79

47 claims · 0.0%

Your Cost: $1.68/claim|Median: $5.50
0.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$64

189 claims · 0.0%

Your Cost: $0.34/claim|Median: $5.78
0.1× median
92025Normal range

$49

74 claims · 0.0%

Your Cost: $0.66/claim|Median: $17.08
0.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$46

348 claims · 0.0%

Your Cost: $0.13/claim|Median: $59.72
0.0× median
90685Normal range

$45

105 claims · 0.0%

Your Cost: $0.43/claim|Median: $5.96
0.1× median
90680Normal range

$45

154 claims · 0.0%

Your Cost: $0.29/claim|Median: $5.58
0.1× median
92227Normal range

$13

33 claims · 0.0%

Your Cost: $0.39/claim|Median: $7.85
0.1× median
90677Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.96

Other Top Providers in Illinois

View all →

City of Chicago

Ambulance

$1.23B

Quest Diagnostics LLC IL

Clinical Medical Laboratory

$429.8M

Intelliride LLC

Transportation Broker

$297.9M

Medline Industries, LP

Durable Medical Equipment & Medical Supplies

$233.1M

Orsini Pharmaceutical Services LLC

Pharmacy Specialty Pharmacy

$187.5M

Similar Providers

Other top providers in Clinic/Center, Multi-Specialty

Group Health Plan, Inc.

Minneapolis, MN

$204.3M

Banner - University Medical Center Tucson Campus LLC

Tucson, AZ

$194.4M

Wake Forest University Health Sciences

Winston Salem, NC

$188.0M

Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX

$148.0M

← All providersAll providers in Illinois →How we detect fraud →