NPI: 1235253907 · MOUNT VERNON, IL 62864 · Public Health or Welfare Agency · NPI assigned 03/19/2007
| Authorized Official | MCDERMOTT, JESSICA (ASSISTANT ADMINISTRATOR) |
| NPI Enumeration Date | 03/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,021 | $49K |
| 2019 | 3,820 | $46K |
| 2020 | 2,274 | $27K |
| 2021 | 2,138 | $26K |
| 2022 | 1,788 | $25K |
| 2023 | 1,998 | $27K |
| 2024 | 1,711 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7,562 | 6,603 | $90K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4,075 | 3,862 | $65K |
| 96127 | 893 | 835 | $13K | |
| H1000 | Prenatal care, at-risk assessment | 771 | 725 | $11K |
| 90734 | 546 | 478 | $7K | |
| 90670 | 379 | 358 | $5K | |
| 90686 | 402 | 365 | $4K | |
| 90633 | 475 | 437 | $4K | |
| 90619 | 233 | 220 | $4K | |
| 90715 | 336 | 309 | $4K | |
| 90698 | 274 | 259 | $2K | |
| 90649 | 335 | 310 | $2K | |
| 90620 | 146 | 129 | $2K | |
| 90651 | 107 | 75 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 113 | 101 | $2K |
| 36416 | 339 | 315 | $1K | |
| 86580 | 293 | 227 | $1K | |
| 90710 | 133 | 107 | $1K | |
| 90744 | 102 | 97 | $693.74 | |
| 90716 | 49 | 46 | $673.27 | |
| 90648 | 61 | 61 | $399.00 | |
| 90707 | 29 | 26 | $321.04 | |
| 90671 | 14 | 13 | $256.97 | |
| 90723 | 30 | 30 | $192.00 | |
| 90696 | 26 | 26 | $166.40 | |
| 90685 | 15 | 15 | $96.00 | |
| 90680 | 12 | 12 | $76.80 |