Clinic
Southern Illinois Medical Services, NFP
Southern Illinois Medical Services, NFP was paid $4.61M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS MEDICAL SERVICES, NFP
WEST FRANKFORT, IL 62896
WEST FRANKFORT, IL 62896
33aNPI1215204938assigned 11/23/2011
33bProvider typeRural Health Clinic/Center
28Total paid$4.61M
24GClaims128,238
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#18 of 235
Median peer was paid$611K
This provider vs. median7.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 10,038 | $453K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 64,144 | 45,727 | $4.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 31,424 | 24,084 | $46.56 |
| 90715 | 0% | 31 | 30 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 41 | 41 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 2,148 | 1,828 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 2,097 | 1,034 | $0.00 |
| 81002 | 0% | 2,396 | 1,956 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,754 | 1,321 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 303 | 269 | $0.00 |
| 81025 | 0% | 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) | 0% | 375 | 353 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 52 | 40 | $0.00 |
13 more codes
| 99307 | 0% | 33 | $0.00 | |
| 90686 | 0% | 598 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 19,466 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 35 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 657 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,292 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 608 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 38 | $0.00 |
| 87807 | 0% | 50 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 30 | $0.00 |
| 90732 | 0% | 36 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 134 | $0.00 |
| 90656 | 0% | 35 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent organizationSOUTHERN ILLINOIS HOSPITAL SERVICES
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.