NPI: 1437708674 · CARBONDALE, IL 62901 · Primary Care Clinic/Center · NPI assigned 09/10/2019
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 | 09/10/2019 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,092 | $108K |
| 2020 | 8,004 | $450K |
| 2021 | 9,756 | $671K |
| 2022 | 9,781 | $728K |
| 2023 | 7,831 | $584K |
| 2024 | 5,908 | $492K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 23,741 | 16,642 | $2.94M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1,200 | 693 | $91K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11,498 | 8,859 | $193.11 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,325 | 1,101 | $86.66 |
| 90834 | Psychotherapy, 45 minutes with patient | 1,141 | 741 | $62.24 |
| 90686 | 70 | 50 | $19.03 | |
| 81003 | 163 | 133 | $2.18 | |
| 90837 | Psychotherapy, 53 minutes with patient | 117 | 81 | $0.09 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,219 | 2,788 | $0.09 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0.01 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 311 | 256 | $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 | 36 | 35 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 412 | 320 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 58 | 27 | $0.00 |
| 99442 | 46 | 43 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 22 | 16 | $0.00 |