Medicaid Provider Spending

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI: 1376921924 · QUINCY, IL 62301 · Primary Care Clinic/Center · NPI assigned 05/15/2015

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

Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more

$9.39M
Total Medicaid Paid
169,202
Total Claims
102,511
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESLEY, IRIS (CEO)
Parent OrganizationBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI Enumeration Date05/15/2015

Related Entities

Other providers sharing the same authorized official: WESLEY, IRIS

ProviderCityStateTotal Paid
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $25.75M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY DECATUR IL $8.61M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $4.48M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY LINCOLN IL $3.49M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY CARBONDALE IL $3.03M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $1.73M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY TAYLORVILLE IL $1.58M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY JACKSONVILLE IL $1.48M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY QUINCY IL $1.40M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY JACKSONVILLE IL $1.20M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY QUINCY IL $1.06M
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $720K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $624K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY CARBONDALE IL $442K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $369K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY PITTSFIELD IL $305K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY QUINCY IL $229K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $45K
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY SPRINGFIELD IL $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,091 $925K
2019 42,366 $1.37M
2020 27,359 $1.42M
2021 25,644 $1.69M
2022 21,903 $1.50M
2023 18,704 $1.29M
2024 15,135 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 90,274 51,245 $9.14M
T1040 Medicaid certified community behavioral health clinic services, per diem 3,216 1,554 $247K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,686 26,325 $1K
96150 110 63 $563.22
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,943 8,548 $394.96
90837 Psychotherapy, 53 minutes with patient 3,969 1,964 $236.36
96127 2,691 2,015 $146.04
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 697 491 $33.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,186 3,286 $5.71
0502F 69 24 $0.09
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 524 405 $0.04
90792 Psychiatric diagnostic evaluation with medical services 17 14 $0.03
99215 Prolong outpt/office vis 15 13 $0.02
90832 Psychotherapy, 30 minutes with patient 4,813 2,451 $0.02
90834 Psychotherapy, 45 minutes with patient 2,823 1,573 $0.01
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 583 430 $0.01
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 110 95 $0.01
99309 Subsequent nursing facility care, per day, low to moderate complexity 75 48 $0.00
99308 Subsequent nursing facility care, per day, straightforward 840 443 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 13 $0.00
90688 28 26 $0.00
G0008 Administration of influenza virus vaccine 29 28 $0.00
99384 23 23 $0.00
99383 27 27 $0.00
99385 12 12 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 27 14 $0.00
90686 15 15 $0.00
90791 Psychiatric diagnostic evaluation 91 66 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 1,014 276 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 614 492 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 56 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 206 198 $0.00
99348 56 49 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 224 153 $0.00
98926 42 25 $0.00
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 54 23 $0.00
80305 14 14 $0.00