Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1073745345 · CARBONDALE, IL 62901 · General Practice Dentistry · NPI assigned 08/20/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARNEY, CHRISTINA controls 16+ related entities in our dataset. Read more

$13.24M
Total Medicaid Paid
350,003
Total Claims
275,081
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARNEY, CHRISTINA (CEO)
Parent OrganizationSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI Enumeration Date08/20/2009

Related Entities

Other providers sharing the same authorized official: CARNEY, CHRISTINA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 49,975 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 106,269 72,455 $12.90M
T1040 Medicaid certified community behavioral health clinic services, per diem 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 1,559 1,400 $19K
0011A 140 139 $6K
0012A 74 74 $3K
90686 2,074 1,509 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,434 1,212 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,920 32,491 $2K
90715 409 299 $791.81
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,541 11,484 $656.73
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 751 631 $168.35
90832 Psychotherapy, 30 minutes with patient 7,588 3,541 $132.66
90834 Psychotherapy, 45 minutes with patient 4,618 2,530 $132.60
90716 18 16 $129.75
90633 444 341 $115.20
90670 551 489 $70.40
90723 341 302 $70.40
90734 122 77 $64.00
90651 205 155 $64.00
86580 63 31 $60.00
90647 449 403 $57.60
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,217 1,060 $42.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,272 8,744 $25.65
90681 77 72 $12.80
90710 105 95 $12.80
90460 Immunization administration through 18 years of age via any route, first or only component 3,461 2,445 $8.75
99173 719 546 $7.45
3725F 13,326 12,184 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 347 344 $0.00
1160F 16,246 14,542 $0.00
90461 1,210 955 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,271 2,905 $0.00
3077F 2,489 2,327 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,500 3,109 $0.00
1159F 14,038 12,639 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,694 1,444 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,043 880 $0.00
3078F 12,982 12,045 $0.00
90785 185 95 $0.00
90837 Psychotherapy, 53 minutes with patient 388 249 $0.00
99188 76 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 12 12 $0.00
90791 Psychiatric diagnostic evaluation 377 343 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 60 $0.00
90472 Immunization administration, each additional vaccine (list separately) 127 82 $0.00
90707 16 14 $0.00
90700 12 12 $0.00
90473 12 12 $0.00
1036F 15,029 13,586 $0.00
3008F 24,635 22,095 $0.00
S5190 Wellness assessment, performed by non-physician 1,590 1,198 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,911 1,324 $0.00
3075F 3,417 3,267 $0.00
3080F 2,009 1,879 $0.00
99381 239 237 $0.00
3074F 15,736 14,448 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 276 269 $0.00
3079F 6,640 6,225 $0.00
1126F 533 513 $0.00
96127 195 112 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 928 388 $0.00
1125F 244 240 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 27 $0.00
90688 31 31 $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 95 90 $0.00
1035F 144 123 $0.00
1034F 329 289 $0.00
99383 13 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 16 12 $0.00