NPI: 1154651776 · EFFINGHAM, IL 62401 · Professional Counselor · NPI assigned 01/04/2010
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (PRESIDENT/CEO) |
| NPI Enumeration Date | 01/04/2010 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,576 | $603K |
| 2019 | 21,726 | $697K |
| 2020 | 9,143 | $445K |
| 2021 | 10,124 | $594K |
| 2022 | 11,878 | $692K |
| 2023 | 11,317 | $598K |
| 2024 | 16,955 | $713K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 22,086 | 16,350 | $2.79M |
| D0999 | Unspecified diagnostic procedure, by report | 12,278 | 11,214 | $1.49M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 787 | 437 | $61K |
| 90686 | 78 | 34 | $57.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 304 | 215 | $12.60 |
| 81003 | 78 | 61 | $2.18 | |
| 3725F | 570 | 558 | $0.00 | |
| D1120 | Prophylaxis - child | 8,064 | 7,704 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,067 | 838 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5,305 | 3,457 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 368 | 307 | $0.00 |
| D0274 | Bitewings - four radiographic images | 1,878 | 1,795 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 1,007 | 957 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 147 | 99 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 200 | 186 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 410 | 393 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 121 | 85 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 450 | 226 | $0.00 |
| 3078F | 794 | 756 | $0.00 | |
| 90715 | 44 | 38 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 77 | 77 | $0.00 |
| D1354 | 93 | 72 | $0.00 | |
| D2140 | 14 | 12 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 3077F | 16 | 16 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 2,096 | 1,982 | $0.00 |
| D1351 | Sealant - per tooth | 806 | 378 | $0.00 |
| D1206 | Topical application of fluoride varnish | 7,776 | 7,441 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,396 | 1,356 | $0.00 |
| 96127 | 2,833 | 2,463 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 104 | 88 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,296 | 1,040 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,671 | 7,989 | $0.00 |
| 3079F | 413 | 393 | $0.00 | |
| 90651 | 13 | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 543 | 498 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 100 | 79 | $0.00 |
| 3008F | 1,367 | 1,267 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 335 | 290 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 6,593 | 6,263 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,368 | 1,158 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 638 | 620 | $0.00 |
| 1036F | 732 | 680 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 117 | 109 | $0.00 |
| 3074F | 1,050 | 988 | $0.00 | |
| 3075F | 122 | 118 | $0.00 | |
| 82044 | 41 | 15 | $0.00 | |
| 3080F | 26 | 25 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14 | 13 | $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 | 21 | 20 | $0.00 |