SOUTHERN ILLINOIS HOSPITAL SERVICES
NPI: 1154408581
· WEST FRANKFORT, IL 62896
· Rural Health Clinic/Center
· NPI assigned 11/01/2006
$1.90M
Total Medicaid Paid
Provider Details
| Authorized Official | LADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER) |
| Parent Organization | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: LADNER, WARREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,132 |
$166K |
| 2019 |
9,612 |
$296K |
| 2020 |
6,074 |
$247K |
| 2021 |
6,327 |
$270K |
| 2022 |
6,278 |
$287K |
| 2023 |
7,183 |
$325K |
| 2024 |
6,849 |
$311K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,111 |
19,160 |
$1.90M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
86 |
57 |
$6K |
| 99213 |
|
13,632 |
10,329 |
$0.00 |
| 99214 |
|
4,794 |
4,078 |
$0.00 |
| 90686 |
|
275 |
223 |
$0.00 |
| 90471 |
|
241 |
210 |
$0.00 |
| 90656 |
|
37 |
35 |
$0.00 |
| 99212 |
|
501 |
402 |
$0.00 |
| 90460 |
|
147 |
79 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
397 |
380 |
$0.00 |
| 99203 |
|
18 |
17 |
$0.00 |
| 81002 |
|
130 |
113 |
$0.00 |
| 87804 |
|
55 |
28 |
$0.00 |
| 87880 |
|
14 |
13 |
$0.00 |
| 99204 |
|
17 |
17 |
$0.00 |