NPI: 1326392747 · GRANITE CITY, IL 62040 · Counselor · NPI assigned 11/07/2012
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CEO) |
| NPI Enumeration Date | 11/07/2012 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55,500 | $2.33M |
| 2019 | 110,789 | $2.83M |
| 2020 | 72,103 | $3.43M |
| 2021 | 60,883 | $3.03M |
| 2022 | 45,851 | $2.90M |
| 2023 | 47,549 | $2.95M |
| 2024 | 65,066 | $2.91M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 152,210 | 107,639 | $19.02M |
| D0999 | Unspecified diagnostic procedure, by report | 8,195 | 7,619 | $994K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 4,384 | 3,279 | $324K |
| 90651 | 2,970 | 2,379 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6,253 | 4,773 | $9K |
| 90688 | 1,702 | 1,231 | $2K | |
| 90670 | 3,603 | 2,903 | $1K | |
| 81025 | 8,167 | 6,191 | $1K | |
| 90716 | 670 | 542 | $527.52 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 2,171 | 1,575 | $425.85 |
| 90710 | 1,043 | 847 | $417.62 | |
| 90734 | 1,614 | 1,349 | $393.65 | |
| 90715 | 2,937 | 2,356 | $358.09 | |
| 90686 | 4,069 | 3,413 | $334.65 | |
| S5190 | Wellness assessment, performed by non-physician | 3,127 | 2,750 | $294.30 |
| 90707 | 664 | 522 | $290.18 | |
| 90633 | 2,441 | 2,047 | $198.58 | |
| 90698 | 2,987 | 2,370 | $188.98 | |
| 90620 | 298 | 242 | $165.75 | |
| 96127 | 19,523 | 13,289 | $157.60 | |
| 90696 | 789 | 632 | $116.14 | |
| 0502F | 7,871 | 4,217 | $88.20 | |
| 87428 | 207 | 199 | $63.00 | |
| 81003 | 14,783 | 9,537 | $52.55 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 2,605 | 1,978 | $37.80 |
| 90744 | 1,302 | 1,016 | $26.14 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2,577 | 2,467 | $22.00 |
| 86580 | 42 | 30 | $20.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,129 | 1,051 | $11.00 |
| 90681 | 1,723 | 1,399 | $6.40 | |
| 81002 | 988 | 744 | $2.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14,427 | 11,368 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 14,360 | 8,409 | $0.00 |
| D1120 | Prophylaxis - child | 4,986 | 4,847 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4,795 | 3,771 | $0.00 |
| D0274 | Bitewings - four radiographic images | 793 | 758 | $0.00 |
| 3077F | 729 | 685 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 806 | 700 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5,379 | 4,482 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 395 | 299 | $0.00 |
| 99173 | 4,167 | 3,276 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 808 | 684 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 227 | 215 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4,593 | 3,799 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,304 | 2,752 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 211 | 191 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 627 | 600 | $0.00 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2,133 | 1,704 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 243 | 237 | $0.00 |
| 99201 | 184 | 136 | $0.00 | |
| 3078F | 4,961 | 4,562 | $0.00 | |
| 90685 | 40 | 36 | $0.00 | |
| 1160F | 1,407 | 1,281 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 184 | 174 | $0.00 |
| 3725F | 3,555 | 3,272 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 45 | 41 | $0.00 |
| 90648 | 262 | 185 | $0.00 | |
| 99177 | 72 | 62 | $0.00 | |
| 11982 | 13 | 13 | $0.00 | |
| D2140 | 78 | 57 | $0.00 | |
| 96160 | 31 | 29 | $0.00 | |
| 90658 | 96 | 89 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 43 | 42 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 315 | 231 | $0.00 |
| 90380 | 13 | 12 | $0.00 | |
| 90687 | 15 | 15 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 20 | 20 | $0.00 |
| 99215 | Prolong outpt/office vis | 12 | 12 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,671 | 10,718 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 195 | 170 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61,654 | 46,823 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5,388 | 4,286 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 236 | 193 | $0.00 |
| 1036F | 4,973 | 4,529 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 5,005 | 4,867 | $0.00 |
| 90723 | 171 | 123 | $0.00 | |
| 99381 | 545 | 473 | $0.00 | |
| 0500F | 963 | 746 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 2,379 | 1,512 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 28 | 26 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 3,875 | 3,764 | $0.00 |
| 0503F | 476 | 329 | $0.00 | |
| 3080F | 464 | 437 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,053 | 1,024 | $0.00 |
| 3074F | 5,573 | 5,104 | $0.00 | |
| 3075F | 880 | 844 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 974 | 941 | $0.00 |
| 99383 | 240 | 180 | $0.00 | |
| D1351 | Sealant - per tooth | 44 | 16 | $0.00 |
| 90677 | 560 | 517 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 177 | 158 | $0.00 |
| 3079F | 1,832 | 1,744 | $0.00 | |
| 3008F | 7,790 | 7,098 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 978 | 754 | $0.00 |
| 99384 | 115 | 104 | $0.00 | |
| 87807 | 38 | 36 | $0.00 | |
| 90697 | 477 | 456 | $0.00 | |
| 90656 | 386 | 337 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 13 | 13 | $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 | 112 | 110 | $0.00 |
| D9995 | 50 | 34 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 15 | $0.00 |
| 99205 | Prolong outpt/office vis | 22 | 22 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 16 | 13 | $0.00 |