SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI: 1326079245
· CARBONDALE, IL 62901
· 101YM0800X
$944K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,881 |
$110K |
| 2019 |
2,984 |
$122K |
| 2020 |
946 |
$54K |
| 2021 |
2,247 |
$76K |
| 2022 |
6,167 |
$178K |
| 2023 |
5,957 |
$193K |
| 2024 |
5,350 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
6,749 |
4,114 |
$855K |
| T1040 |
Comm bh clinic svc per diem |
1,168 |
635 |
$89K |
| 96127 |
|
56 |
49 |
$496.40 |
| 90686 |
|
45 |
42 |
$96.00 |
| 99212 |
|
2,485 |
1,815 |
$76.95 |
| 96372 |
|
18 |
18 |
$19.62 |
| 90734 |
|
31 |
30 |
$12.80 |
| 81003 |
|
635 |
570 |
$10.90 |
| 90651 |
|
40 |
39 |
$6.40 |
| 3725F |
|
1,294 |
1,075 |
$0.00 |
| 1159F |
|
825 |
685 |
$0.00 |
| 3078F |
|
1,537 |
1,248 |
$0.00 |
| 90791 |
|
20 |
19 |
$0.00 |
| 90460 |
|
171 |
130 |
$0.00 |
| 90832 |
|
1,566 |
908 |
$0.00 |
| 87880 |
|
29 |
25 |
$0.00 |
| 99394 |
|
374 |
338 |
$0.00 |
| 1160F |
|
862 |
718 |
$0.00 |
| 99173 |
|
106 |
84 |
$0.00 |
| 99393 |
|
35 |
35 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 87804 |
|
13 |
13 |
$0.00 |
| 99214 |
|
264 |
118 |
$0.00 |
| 3074F |
|
1,758 |
1,415 |
$0.00 |
| 3079F |
|
293 |
266 |
$0.00 |
| 3008F |
|
2,032 |
1,622 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
279 |
166 |
$0.00 |
| 90471 |
|
37 |
31 |
$0.00 |
| 1036F |
|
1,966 |
1,531 |
$0.00 |
| 36415 |
|
77 |
68 |
$0.00 |
| 99213 |
|
694 |
358 |
$0.00 |
| 99384 |
|
46 |
44 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |