Medicaid Provider Spending

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1245260645 · MURPHYSBORO, IL 62966 · Mental Health Counselor · NPI assigned 07/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARNEY, CHRISTINA controls 16+ related entities in our dataset. Read more

$11.13M
Total Medicaid Paid
306,437
Total Claims
239,403
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARNEY, CHRISTINA (CEO)
Parent OrganizationSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: CARNEY, CHRISTINA

ProviderCityStateTotal Paid
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $13.24M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $9.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $6.82M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $6.66M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $6.10M
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP CARBONDALE IL $3.96M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $944K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $691K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $623K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $552K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $47K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $14K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $7K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MURPHYSBORO IL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,811 $1.31M
2019 44,531 $1.46M
2020 26,575 $1.35M
2021 49,247 $1.64M
2022 61,213 $1.66M
2023 55,041 $1.72M
2024 45,019 $1.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 90,368 62,896 $10.88M
T1040 Medicaid certified community behavioral health clinic services, per diem 3,089 1,503 $230K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1,309 1,213 $17K
90686 2,954 2,169 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,502 32,729 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,131 2,460 $2K
90670 483 416 $496.67
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 38 33 $425.04
90715 292 232 $256.31
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,459 7,254 $199.60
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,534 2,143 $155.74
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,610 5,575 $145.94
90723 277 244 $117.55
90834 Psychotherapy, 45 minutes with patient 2,686 1,574 $110.50
90633 307 231 $102.40
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 851 710 $84.62
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 102 86 $69.65
90734 177 140 $64.00
90832 Psychotherapy, 30 minutes with patient 2,867 1,650 $58.96
S5190 Wellness assessment, performed by non-physician 1,486 1,189 $49.05
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 285 197 $42.43
90651 157 122 $38.40
90688 39 38 $35.68
90647 286 263 $32.00
90707 24 13 $6.40
90681 37 37 $6.40
90710 26 25 $6.40
90696 47 38 $6.40
J1050 Injection, medroxyprogesterone acetate, 1 mg 29 29 $3.98
90837 Psychotherapy, 53 minutes with patient 2,075 1,010 $0.00
1160F 12,089 10,213 $0.00
90461 1,128 856 $0.00
3078F 14,199 12,535 $0.00
3725F 13,140 11,778 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 3,858 2,632 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,594 2,157 $0.00
3077F 2,045 1,858 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 263 230 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,210 1,020 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 112 104 $0.00
1159F 10,224 8,716 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 143 136 $0.00
99188 71 68 $0.00
90791 Psychiatric diagnostic evaluation 179 151 $0.00
90472 Immunization administration, each additional vaccine (list separately) 54 43 $0.00
99408 14 14 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 64 64 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,084 1,467 $0.00
1126F 594 555 $0.00
3080F 1,431 1,289 $0.00
3079F 6,503 5,978 $0.00
3074F 16,434 14,414 $0.00
1125F 367 334 $0.00
3075F 3,681 3,445 $0.00
1035F 119 103 $0.00
3008F 24,005 20,733 $0.00
1036F 13,884 11,916 $0.00
D1206 Topical application of fluoride varnish 34 34 $0.00
1034F 215 203 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 46 25 $0.00
99385 12 12 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 92 89 $0.00
90716 22 12 $0.00