SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
NPI: 1154510808
· CARBONDALE, IL 62901
· 261QR1300X
$15.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37,694 |
$1.38M |
| 2019 |
88,881 |
$2.24M |
| 2020 |
64,734 |
$2.33M |
| 2021 |
60,750 |
$2.16M |
| 2022 |
73,376 |
$2.69M |
| 2023 |
63,442 |
$2.40M |
| 2024 |
50,006 |
$1.99M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
180,072 |
133,236 |
$15.12M |
| T1040 |
Comm bh clinic svc per diem |
1,172 |
807 |
$69K |
| S5190 |
Wellness assessment by nonph |
845 |
790 |
$92.30 |
| 99204 |
|
2,029 |
1,652 |
$72.72 |
| 99213 |
|
53,794 |
43,410 |
$48.89 |
| 90647 |
|
3,697 |
3,469 |
$0.00 |
| 90723 |
|
3,677 |
3,510 |
$0.00 |
| 96372 |
|
1,932 |
1,541 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
502 |
440 |
$0.00 |
| 99214 |
|
60,834 |
47,959 |
$0.00 |
| 90471 |
|
5,079 |
4,587 |
$0.00 |
| 90656 |
|
401 |
367 |
$0.00 |
| 90686 |
|
3,488 |
3,169 |
$0.00 |
| 90834 |
|
2,027 |
1,238 |
$0.00 |
| 90716 |
|
1,094 |
1,034 |
$0.00 |
| 87807 |
|
1,804 |
1,365 |
$0.00 |
| 94640 |
|
659 |
588 |
$0.00 |
| 90696 |
|
862 |
842 |
$0.00 |
| 90651 |
|
732 |
706 |
$0.00 |
| 90792 |
|
69 |
69 |
$0.00 |
| 90677 |
|
41 |
35 |
$0.00 |
| 99202 |
|
381 |
333 |
$0.00 |
| 90474 |
|
296 |
274 |
$0.00 |
| 90732 |
|
36 |
16 |
$0.00 |
| 90620 |
|
47 |
45 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
49 |
42 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$0.00 |
| 99384 |
|
18 |
17 |
$0.00 |
| 99383 |
|
77 |
64 |
$0.00 |
| 99381 |
|
29 |
29 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
16 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
16 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 81002 |
|
4,212 |
3,403 |
$0.00 |
| 90460 |
|
17,089 |
12,525 |
$0.00 |
| 87880 |
|
10,489 |
8,561 |
$0.00 |
| 87804 |
|
4,721 |
2,492 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
2,221 |
2,128 |
$0.00 |
| 99212 |
|
3,600 |
2,992 |
$0.00 |
| 90681 |
|
2,277 |
2,162 |
$0.00 |
| 99394 |
|
3,440 |
2,985 |
$0.00 |
| 99391 |
|
13,109 |
10,185 |
$0.00 |
| 90461 |
|
11,089 |
7,824 |
$0.00 |
| 90670 |
|
4,075 |
3,880 |
$0.00 |
| 90710 |
|
1,158 |
1,122 |
$0.00 |
| 90715 |
|
964 |
946 |
$0.00 |
| 99203 |
|
2,342 |
1,961 |
$0.00 |
| 99392 |
|
11,480 |
9,765 |
$0.00 |
| 90832 |
|
1,759 |
1,184 |
$0.00 |
| 90633 |
|
2,425 |
2,356 |
$0.00 |
| 90791 |
|
402 |
295 |
$0.00 |
| 99393 |
|
6,600 |
5,737 |
$0.00 |
| 81025 |
|
678 |
526 |
$0.00 |
| 90734 |
|
1,070 |
1,031 |
$0.00 |
| 99244 |
|
421 |
280 |
$0.00 |
| 90707 |
|
1,040 |
1,010 |
$0.00 |
| 90700 |
|
1,290 |
1,240 |
$0.00 |
| 90472 |
|
1,584 |
1,517 |
$0.00 |
| 99395 |
|
273 |
269 |
$0.00 |
| G2211 |
Complex e/m visit add on |
2,892 |
2,766 |
$0.00 |
| 69209 |
|
12 |
12 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
104 |
82 |
$0.00 |
| 99211 |
|
15 |
14 |
$0.00 |
| 90837 |
|
155 |
56 |
$0.00 |
| 99396 |
|
37 |
36 |
$0.00 |
| 95251 |
|
27 |
27 |
$0.00 |
| 99382 |
|
17 |
16 |
$0.00 |