NPI: 1427114891 · CAHOKIA, IL 62206 · Family Medicine Physician · NPI assigned 12/29/2006
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (PRESIDENT) |
| NPI Enumeration Date | 12/29/2006 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,172 | $251K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,182 | 1,837 | $251K |
| 90633 | 64 | 61 | $32.03 | |
| 90686 | 132 | 113 | $19.03 | |
| 36416 | 100 | 95 | $4.10 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 74 | 72 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17 | 16 | $0.00 |
| 81003 | 116 | 111 | $0.00 | |
| 90670 | 84 | 82 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 280 | 253 | $0.00 |
| 99173 | 109 | 99 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 123 | 116 | $0.00 |
| 81025 | 125 | 116 | $0.00 | |
| 90715 | 13 | 13 | $0.00 | |
| 99215 | Prolong outpt/office vis | 30 | 27 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 934 | 854 | $0.00 |
| 90651 | 13 | 13 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 73 | 70 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 182 | 172 | $0.00 |
| 96127 | 204 | 190 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 97 | 58 | $0.00 |
| 90698 | 67 | 66 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 137 | 123 | $0.00 |
| 90744 | 16 | 16 | $0.00 |