Clinic
Southern Illinois Hospital Services
Southern Illinois Hospital Services was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HOSPITAL SERVICES
WEST FRANKFORT, IL 62896
WEST FRANKFORT, IL 62896
33aNPI1154408581assigned 11/01/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.90M
24GClaims46,455
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#58 of 235
Median peer was paid$611K
This provider vs. median3.1×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,849 | $311K |
Box 24 · Service lines
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 | 100% | 26,111 | 19,160 | $1.90M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 86 | 57 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 13,632 | 10,329 | $0.00 |
| 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 | 0% | 4,794 | 4,078 | $0.00 |
| 90686 | 0% | 275 | 223 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 241 | 210 | $0.00 |
| 90656 | 0% | 37 | 35 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 501 | 402 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 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) | 0% | 397 | 380 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 18 | 17 | $0.00 |
| 81002 | 0% | 130 | 113 | $0.00 |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent organizationSOUTHERN ILLINOIS HOSPITAL SERVICES
| Provider | Location | Paid |
|---|---|---|
| Southern Illinois Medical Services, NFP | Carbondale, IL | $15.18M |
| Southern Illinois Medical Services, NFP | Harrisburg, IL | $12.43M |
| Southern Illinois Medical Services, NFP | Herrin, IL | $9.14M |
| Southern Illinois Medical Services, NFP | West Frankfort, IL | $4.61M |
| Harrisburg Medical Center INC | Marion, IL | $2.19M |
| Southern Illinois Medical Services, NFP | Murphysboro, IL | $1.36M |
| Southern Illinois Medical Services, NFP | Benton, IL | $1.28M |
| Harrisburg Medical Center INC | Eldorado, IL | $924K |
| Harrisburg Medical Center INC | Harrisburg, IL | $280K |
| Southern Illinois Medical Services, NFP | Anna, IL | $248K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.