Shawnee Health Service and Development Corp
Shawnee Health Service and Development Corp was paid $13.24M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
CARBONDALE, IL 62901
Next to other General Practice Dentistry providers in Illinois
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 26,321 | $1.41M | |
| 2019 | 51,779 | $1.75M | |
| 2020 | 34,169 | $1.78M | |
| 2021 | 54,096 | $1.92M | |
| 2022 | 66,122 | $1.99M | |
| 2023 | 67,541 | $2.10M | |
| 2024incomplete | 49,975 | $2.30M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 106,269 | 72,455 | $12.90M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 2.3% | 4,119 | 1,846 | $308K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 1,559 | 1,400 | $19K |
| 0011A | <1% | 140 | 139 | $6K | |
| 0012A | <1% | 74 | 74 | $3K | |
| 90686 | <1% | 2,074 | 1,509 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,434 | 1,212 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 42,920 | 32,491 | $2K |
| 90715 | <1% | 409 | 299 | $791.81 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 14,541 | 11,484 | $656.73 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 751 | 631 | $168.35 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,588 | 3,541 | $132.66 |
57 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 4,618 | $132.60 |
| 90716 | <1% | 18 | $129.75 | |
| 90633 | <1% | 444 | $115.20 | |
| 90670 | <1% | 551 | $70.40 | |
| 90723 | <1% | 341 | $70.40 | |
| 90734 | <1% | 122 | $64.00 | |
| 90651 | <1% | 205 | $64.00 | |
| 86580 | <1% | 63 | $60.00 | |
| 90647 | <1% | 449 | $57.60 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,217 | $42.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,272 | $25.65 |
| 90681 | <1% | 77 | $12.80 | |
| 90710 | <1% | 105 | $12.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,461 | $8.75 |
| 99173 | <1% | 719 | $7.45 | |
| 3725F | 0% | 13,326 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 347 | $0.00 |
| 1160F | 0% | 16,246 | $0.00 | |
| 90461 | 0% | 1,210 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,271 | $0.00 |
| 3077F | 0% | 2,489 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,500 | $0.00 |
| 1159F | 0% | 14,038 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,694 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,043 | $0.00 |
| 3078F | 0% | 12,982 | $0.00 | |
| 90785 | 0% | 185 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 388 | $0.00 |
| 99188 | 0% | 76 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 377 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 63 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 127 | $0.00 |
| 90707 | 0% | 16 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90473 | 0% | 12 | $0.00 | |
| 1036F | 0% | 15,029 | $0.00 | |
| 3008F | 0% | 24,635 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 1,590 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,911 | $0.00 |
| 3075F | 0% | 3,417 | $0.00 | |
| 3080F | 0% | 2,009 | $0.00 | |
| 99381 | 0% | 239 | $0.00 | |
| 3074F | 0% | 15,736 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 276 | $0.00 |
| 3079F | 0% | 6,640 | $0.00 | |
| 1126F | 0% | 533 | $0.00 | |
| 96127 | 0% | 195 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 928 | $0.00 |
| 1125F | 0% | 244 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 39 | $0.00 |
| 90688 | 0% | 31 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 95 | $0.00 |
| 1035F | 0% | 144 | $0.00 | |
| 1034F | 0% | 329 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Shawnee Health Service and Development Corp | Murphysboro, IL | $11.13M |
| Shawnee Health Service and Development Corp | Carbondale, IL | $9.76M |
| Shawnee Health Service and Development Corp | Marion, IL | $6.82M |
| Shawnee Health Service and Development Corp | Carbondale, IL | $6.66M |
| Shawnee Health Service and Development Corp | Carterville, IL | $6.10M |
| Shawnee Health Service & Development Corp | Carbondale, IL | $3.96M |
| Shawnee Health Service and Development Corp | Marion, IL | $2.76M |
| Shawnee Health Service and Development Corp | Carbondale, IL | $944K |
| Shawnee Health Service and Development Corp | Marion, IL | $691K |
| Shawnee Health Service and Development Corp | Marion, IL | $623K |
| Shawnee Health Service and Development Corp | Carterville, IL | $552K |
| Shawnee Health Service and Development Corp | Carterville, IL | $47K |
| Shawnee Health Service and Development Corp | Carbondale, IL | $14K |
| Shawnee Health Service and Development Corp | Carbondale, IL | $7K |
| Shawnee Health Service and Development Corp | Marion, IL | $2K |
| Shawnee Health Service and Development Corp | Murphysboro, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.