NPI: 1275561797 · BELLEVILLE, IL 62223 · Family Medicine Physician · NPI assigned 06/30/2006
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 06/30/2006 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32,453 | $1.48M |
| 2019 | 56,895 | $1.77M |
| 2020 | 32,412 | $1.78M |
| 2021 | 44,224 | $1.59M |
| 2022 | 26,456 | $1.37M |
| 2023 | 12,238 | $964K |
| 2024 | 24,086 | $1.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 83,589 | 59,160 | $9.84M |
| D0999 | Unspecified diagnostic procedure, by report | 2,412 | 2,180 | $267K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 534 | 413 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2,304 | 1,827 | $3K |
| 90688 | 940 | 687 | $578.02 | |
| 90686 | 886 | 715 | $572.55 | |
| 90715 | 1,207 | 886 | $256.98 | |
| 82962 | 3,940 | 3,028 | $139.94 | |
| 0502F | 7,603 | 4,010 | $132.30 | |
| D1120 | Prophylaxis - child | 1,432 | 1,378 | $129.15 |
| D1206 | Topical application of fluoride varnish | 1,418 | 1,364 | $81.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | 479 | 455 | $78.24 |
| 96127 | 6,578 | 5,278 | $66.00 | |
| 81025 | 4,146 | 3,283 | $38.74 | |
| D0272 | Bitewings - two radiographic images | 846 | 808 | $22.18 |
| 81002 | 2,448 | 1,637 | $18.20 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 1,384 | 930 | $9.60 |
| 81003 | 3,998 | 2,363 | $4.36 | |
| 3078F | 3,709 | 3,228 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 926 | 742 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15,254 | 12,111 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 4,676 | 3,064 | $0.00 |
| 3725F | 2,853 | 2,580 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 33 | 32 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 261 | 174 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2,004 | 1,655 | $0.00 |
| 3077F | 1,256 | 1,156 | $0.00 | |
| 99215 | Prolong outpt/office vis | 148 | 135 | $0.00 |
| 1160F | 5,439 | 4,548 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 265 | 256 | $0.00 |
| 90687 | 118 | 48 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 65 | 58 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 123 | 91 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 352 | 289 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 40 | 25 | $0.00 |
| 82948 | 49 | 43 | $0.00 | |
| 99201 | 29 | 13 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 30 | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 24 | 24 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 13 | $0.00 |
| 0500F | 870 | 705 | $0.00 | |
| 0503F | 711 | 512 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 689 | 601 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,319 | 4,446 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 991 | 958 | $0.00 |
| 3008F | 7,726 | 6,658 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31,414 | 23,845 | $0.00 |
| 3080F | 1,024 | 926 | $0.00 | |
| 3075F | 1,365 | 1,257 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 195 | 154 | $0.00 |
| D1351 | Sealant - per tooth | 93 | 53 | $0.00 |
| 3074F | 4,868 | 4,202 | $0.00 | |
| 3079F | 2,752 | 2,499 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 469 | 383 | $0.00 |
| 99385 | 211 | 189 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 225 | 222 | $0.00 |
| 1036F | 5,355 | 4,582 | $0.00 | |
| 1126F | 115 | 114 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 45 | 41 | $0.00 |
| 99386 | 31 | 27 | $0.00 | |
| 90651 | 40 | 26 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 17 | 15 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 46 | 43 | $0.00 |
| 1125F | 184 | 167 | $0.00 | |
| 90656 | 102 | 99 | $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 | 79 | 78 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 16 | 15 | $0.00 |