Medicaid Provider Spending

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI: 1407376338 · DECATUR, IL 62526 · Primary Care Clinic/Center · NPI assigned 06/21/2017

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

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

$8.61M
Total Medicaid Paid
159,539
Total Claims
113,301
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESLEY, IRIS (CHIEF EXECUTIVE OFFICER)
Parent OrganizationBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI Enumeration Date06/21/2017

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 QUINCY IL $9.39M
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 23,807 $772K
2019 27,669 $909K
2020 18,810 $946K
2021 24,793 $1.48M
2022 24,921 $1.60M
2023 22,958 $1.56M
2024 16,581 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 74,958 51,431 $8.44M
T1040 Medicaid certified community behavioral health clinic services, per diem 2,133 1,084 $164K
0011A 115 114 $5K
0012A 108 108 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,198 8,151 $383.54
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,365 26,046 $289.95
90670 1,662 1,178 $205.88
90834 Psychotherapy, 45 minutes with patient 3,049 1,561 $142.01
90680 645 463 $108.77
90723 1,196 850 $107.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 186 150 $64.46
90648 1,534 1,084 $48.10
0502F 439 243 $44.38
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,610 1,970 $32.32
90633 619 481 $25.67
90686 2,596 1,866 $25.66
83036 Hemoglobin; glycosylated (A1C) 3,145 2,535 $18.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 210 145 $15.75
96127 2,215 2,027 $14.62
81003 2,891 2,074 $12.74
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,055 1,505 $0.38
90716 657 481 $0.09
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,902 1,654 $0.06
90651 484 357 $0.06
90707 634 469 $0.05
90715 589 423 $0.04
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,423 1,107 $0.03
81025 240 198 $0.02
90734 393 265 $0.02
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 836 664 $0.01
90619 22 21 $0.01
90832 Psychotherapy, 30 minutes with patient 650 431 $0.00
90837 Psychotherapy, 53 minutes with patient 306 157 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 573 454 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 505 447 $0.00
83655 14 14 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 33 28 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 57 50 $0.00
90700 18 12 $0.00
36415 Collection of venous blood by venipuncture 176 162 $0.00
90656 95 92 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 393 285 $0.00
82044 125 116 $0.00
90696 186 137 $0.00
99383 60 43 $0.00
G0008 Administration of influenza virus vaccine 59 59 $0.00
82962 26 12 $0.00
93000 27 14 $0.00
99384 41 23 $0.00
D1206 Topical application of fluoride varnish 24 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 32 $0.00
99381 16 16 $0.00