NPI: 1205553195 · SPRINGFIELD, IL 62701 · Primary Care Clinic/Center · NPI assigned 10/21/2022
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 10/21/2022 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 7,438 | $318K |
| 2024 | 6,487 | $402K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 5,641 | 3,233 | $652K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 939 | 633 | $68K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,286 | 2,019 | $2.31 |
| 80305 | 3,092 | 1,892 | $2.08 | |
| 90832 | Psychotherapy, 30 minutes with patient | 625 | 459 | $0.78 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 214 | 197 | $0.01 |
| 96127 | 62 | 56 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 29 | 26 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 37 | 30 | $0.00 |