NPI: 1124171491 · WINCHESTER, IL 62694 · Public Health or Welfare Agency · NPI assigned 01/19/2007
| Authorized Official | SHIREMAN, STEVE (ADMINISTRATOR) |
| NPI Enumeration Date | 01/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 811 | $11K |
| 2019 | 789 | $10K |
| 2020 | 565 | $6K |
| 2021 | 333 | $5K |
| 2022 | 496 | $7K |
| 2023 | 439 | $6K |
| 2024 | 429 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2,817 | 2,467 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 456 | 400 | $7K |
| 96127 | 216 | 195 | $3K | |
| 90734 | 75 | 61 | $2K | |
| 90688 | 96 | 90 | $1K | |
| 0011A | 31 | 27 | $664.20 | |
| 0012A | 17 | 13 | $616.42 | |
| 0002A | 12 | 12 | $340.68 | |
| 90651 | 22 | 12 | $338.57 | |
| 90656 | 14 | 12 | $247.44 | |
| 0001A | 14 | 14 | $237.16 | |
| 90686 | 29 | 29 | $185.60 | |
| 90715 | 12 | 12 | $141.34 | |
| 85018 | 13 | 13 | $30.16 | |
| 81003 | 12 | 12 | $23.98 | |
| 91301 | 26 | 25 | $0.00 |