Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

NPI: 1215204938 · WEST FRANKFORT, IL 62896 · Rural Health Clinic/Center · NPI assigned 11/23/2011

$4.61M
Total Medicaid Paid
128,238
Total Claims
93,504
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent OrganizationSOUTHERN ILLINOIS HOSPITAL SERVICES
NPI Enumeration Date11/23/2011

Related Entities

Other providers sharing the same authorized official: LADNER, WARREN

ProviderCityStateTotal 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
HARRISBURG MEDICAL CENTER INC MARION IL $2.19M
SOUTHERN ILLINOIS HOSPITAL SERVICES WEST FRANKFORT IL $1.90M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,347 $691K
2019 34,372 $926K
2020 24,020 $860K
2021 15,542 $634K
2022 14,293 $601K
2023 10,626 $445K
2024 10,038 $453K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 64,144 45,727 $4.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,424 24,084 $46.56
90715 31 30 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 41 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,148 1,828 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,097 1,034 $0.00
81002 2,396 1,956 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,754 1,321 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 303 269 $0.00
81025 461 339 $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) 375 353 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 52 40 $0.00
99307 33 31 $0.00
90686 598 458 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,466 13,966 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 27 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 657 438 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,292 896 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 608 464 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 38 13 $0.00
87807 50 32 $0.00
99308 Subsequent nursing facility care, per day, straightforward 30 30 $0.00
90732 36 35 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 134 64 $0.00
90656 35 28 $0.00