Shawnee Health Service and Development Corp
Shawnee Health Service and Development Corp was paid $9.76M by Medicaid between Jan 2018 and Dec 2024, across 51 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.
CARBONDALE, IL 62901
Next to other Counselor providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,272 | $709K | |
| 2019 | 29,015 | $979K | |
| 2020 | 18,359 | $1.09M | |
| 2021 | 38,680 | $1.63M | |
| 2022 | 57,464 | $1.79M | |
| 2023 | 53,399 | $1.74M | |
| 2024incomplete | 46,064 | $1.84M |
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% | 73,084 | 56,937 | $9.75M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 101 | 58 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,392 | 3,836 | $1K |
| 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% | 77 | 77 | $936.49 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,575 | 2,288 | $391.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,873 | 1,510 | $362.97 |
| 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% | 43,568 | 35,635 | $279.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,983 | 9,968 | $179.55 |
| 87807 | <1% | 584 | 542 | $140.84 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 787 | 648 | $134.40 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,129 | 1,890 | $87.10 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 337 | 161 | $66.30 |
39 more codes
| 81025 | <1% | 1,430 | $33.59 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 451 | $20.54 |
| 81003 | <1% | 2,977 | $17.44 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 381 | $9.81 |
| 3075F | 0% | 2,609 | $0.00 | |
| 1036F | 0% | 14,521 | $0.00 | |
| 3008F | 0% | 19,935 | $0.00 | |
| 3079F | 0% | 5,079 | $0.00 | |
| 1126F | 0% | 2,033 | $0.00 | |
| 96127 | 0% | 1,911 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 4,011 | $0.00 |
| 3074F | 0% | 14,679 | $0.00 | |
| 3080F | 0% | 1,007 | $0.00 | |
| 1125F | 0% | 2,498 | $0.00 | |
| 81005 | 0% | 23 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 135 | $0.00 |
| 86580 | 0% | 12 | $0.00 | |
| 1035F | 0% | 152 | $0.00 | |
| 1034F | 0% | 195 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 69 | $0.00 |
| 3077F | 0% | 1,347 | $0.00 | |
| 1159F | 0% | 6,786 | $0.00 | |
| 3725F | 0% | 11,829 | $0.00 | |
| 3078F | 0% | 12,516 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 226 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 180 | $0.00 |
| 1160F | 0% | 7,961 | $0.00 | |
| 99173 | 0% | 213 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 40 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 74 | $0.00 |
| 99201 | 0% | 77 | $0.00 | |
| 80305 | 0% | 42 | $0.00 | |
| 99408 | 0% | 211 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 124 | $0.00 |
| 81002 | 0% | 187 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 700 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 88 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 42 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Shawnee Health Service and Development Corp | Carbondale, IL | $13.24M |
| Shawnee Health Service and Development Corp | Murphysboro, IL | $11.13M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.