NPI: 1023371143 · MATTOON, IL 61938 · Psychiatry Physician · NPI assigned 06/22/2012
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (PRESIDENT/CEO) |
| NPI Enumeration Date | 06/22/2012 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,014 | $118K |
| 2019 | 9,427 | $249K |
| 2020 | 6,911 | $389K |
| 2021 | 5,931 | $345K |
| 2022 | 6,974 | $424K |
| 2023 | 6,876 | $408K |
| 2024 | 13,498 | $472K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 21,185 | 13,368 | $2.36M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 665 | 431 | $44K |
| 90688 | 109 | 93 | $71.36 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 972 | 669 | $31.50 |
| 81003 | 283 | 154 | $21.80 | |
| 82962 | 228 | 160 | $1.68 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,375 | 7,155 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 799 | 758 | $0.00 |
| 90686 | 101 | 64 | $0.00 | |
| 3074F | 1,280 | 1,174 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 214 | 162 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 887 | 760 | $0.00 |
| 96127 | 1,423 | 1,169 | $0.00 | |
| 1126F | 684 | 647 | $0.00 | |
| 1036F | 783 | 715 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,470 | 1,347 | $0.00 |
| 3079F | 136 | 135 | $0.00 | |
| 1125F | 366 | 338 | $0.00 | |
| 3008F | 1,524 | 1,388 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 160 | 125 | $0.00 |
| 3075F | 59 | 59 | $0.00 | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 14 | 14 | $0.00 |
| 36410 | 40 | 39 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,292 | 788 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 2,907 | 1,500 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 715 | 449 | $0.00 |
| 3725F | 1,215 | 1,130 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,371 | 1,241 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16 | 15 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 57 | 53 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 19 | 13 | $0.00 |
| 3078F | 1,242 | 1,140 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15 | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 13 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $0.00 |