SIU PHYSICIANS & SURGEONS, INC
NPI: 1053804443
· JACKSONVILLE, IL 62650
· Rural Health Clinic/Center
· NPI assigned 06/11/2018
$627K
Total Medicaid Paid
Provider Details
| Authorized Official | TURLEY, JO (MEDICAL STAFF COORDINATOR) |
| NPI Enumeration Date | 06/11/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
5,287 |
$275K |
| 2020 |
5,249 |
$304K |
| 2021 |
888 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,495 |
3,635 |
$623K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
69 |
63 |
$3K |
| 90715 |
|
76 |
73 |
$329.85 |
| 99395 |
|
461 |
325 |
$302.25 |
| 0502F |
|
3,020 |
1,515 |
$179.50 |
| 99213 |
|
409 |
283 |
$109.62 |
| 90686 |
|
53 |
50 |
$57.40 |
| 99212 |
|
361 |
261 |
$26.00 |
| 0500F |
|
296 |
241 |
$0.29 |
| 0503F |
|
156 |
104 |
$0.07 |
| 99214 |
|
16 |
16 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |