Medicaid Provider Spending

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1285185173 · CARBONDALE, IL 62901 · Counselor · NPI assigned 10/17/2016

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

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

$9.76M
Total Medicaid Paid
257,253
Total Claims
221,367
Beneficiaries
51
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 Date10/17/2016

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 46,064 $1.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 73,084 56,937 $9.75M
T1040 Medicaid certified community behavioral health clinic services, per diem 101 58 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 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 77 77 $936.49
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,575 2,288 $391.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,873 1,510 $362.97
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,568 35,635 $279.36
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,983 9,968 $179.55
87807 584 542 $140.84
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 787 648 $134.40
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,129 1,890 $87.10
90834 Psychotherapy, 45 minutes with patient 337 161 $66.30
81025 1,430 1,117 $33.59
J0696 Injection, ceftriaxone sodium, per 250 mg 451 403 $20.54
81003 2,977 2,447 $17.44
S5190 Wellness assessment, performed by non-physician 381 292 $9.81
3075F 2,609 2,531 $0.00
1036F 14,521 13,399 $0.00
3008F 19,935 18,529 $0.00
3079F 5,079 4,870 $0.00
1126F 2,033 1,986 $0.00
96127 1,911 1,693 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,011 3,663 $0.00
3074F 14,679 13,727 $0.00
3080F 1,007 980 $0.00
1125F 2,498 2,420 $0.00
81005 23 22 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 135 134 $0.00
86580 12 12 $0.00
1035F 152 141 $0.00
1034F 195 185 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $0.00
90791 Psychiatric diagnostic evaluation 69 52 $0.00
3077F 1,347 1,310 $0.00
1159F 6,786 6,289 $0.00
3725F 11,829 11,032 $0.00
3078F 12,516 11,775 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 226 206 $0.00
90837 Psychotherapy, 53 minutes with patient 180 79 $0.00
1160F 7,961 7,382 $0.00
99173 213 124 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 26 $0.00
99215 Prolong outpt/office vis 74 72 $0.00
99201 77 77 $0.00
80305 42 42 $0.00
99408 211 207 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 124 66 $0.00
81002 187 161 $0.00
90832 Psychotherapy, 30 minutes with patient 700 298 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 88 38 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 42 18 $0.00