Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › PEORIA › SOUTH SIDE OFFICE OF CONCERN

SOUTH SIDE OFFICE OF CONCERN

NPI: 1174724280 · PEORIA, IL 61602 · Case Management Agency · NPI assigned 05/29/2007

$949.84
Total Medicaid Paid
15,335
Total Claims
521
Beneficiaries
2
Codes Billed
2018-02
First Month
2020-10
Last Month

Provider Details

Authorized OfficialKAHL, CHRISTINE (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/29/2007

Related Entities

Other providers sharing the same authorized official: KAHL, CHRISTINE

ProviderCityStateTotal Paid
SOUTH SIDE OFFICE OF CONCERN PEORIA IL $503K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $949.84
2019 1,488 $0.00
2020 13,830 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 17 12 $949.84
W00R2 15,318 509 $0.00