NPI: 1376921924 · QUINCY, IL 62301 · Primary Care Clinic/Center · NPI assigned 05/15/2015
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 05/15/2015 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |