NPI: 1316160823 · MONMOUTH, IL 61462 · Psychiatry Physician · NPI assigned 04/11/2007
| Authorized Official | NELSON, BILL (CEO) |
| NPI Enumeration Date | 04/11/2007 |
Other providers sharing the same authorized official: NELSON, BILL
| Provider | City | State | Total Paid |
|---|---|---|---|
| BRIDGEWAY, INC | KEWANEE | IL | $1.47M |
| ILLINOIS MEDICAID-SUBSTANCE ABUSE GALESBURG | GALESBURG | IL | $1.34M |
| BRIDGEWAY INC | MACOMB | IL | $222K |
| ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE | KEWANEE | IL | $162K |
| ILLINOIS MEDICAID-SUBSTANCE ABUSE MONMOUTH | MONMOUTH | IL | $50K |
| SALSON CLINICS LLC | WEST JORDAN | UT | $23K |
| ILLINOIS MEDICAID-SUBSTANCE ABUSE MACOMB | MACOMB | IL | $20K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,096 | $52K |
| 2019 | 2,451 | $135K |
| 2020 | 1,990 | $99K |
| 2021 | 45 | $1K |
| 2022 | 443 | $34K |
| 2023 | 950 | $98K |
| 2024 | 236 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2,500 | 1,364 | $229K |
| H2000 | Comprehensive multidisciplinary evaluation | 1,304 | 801 | $125K |
| T1016 | Case management, each 15 minutes | 2,270 | 1,313 | $45K |
| H2010 | Comprehensive medication services, per 15 minutes | 907 | 685 | $24K |
| H0031 | Mental health assessment, by non-physician | 77 | 69 | $7K |
| H2011 | Crisis intervention service, per 15 minutes | 16 | 12 | $3K |
| H0032 | Mental health service plan development by non-physician | 60 | 59 | $3K |
| S9484 | Crisis intervention mental health services, per hour | 20 | 13 | $3K |
| Q3014 | Telehealth originating site facility fee | 57 | 32 | $354.25 |