Medicaid Provider Spending

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI: 1437708674 · CARBONDALE, IL 62901 · Primary Care Clinic/Center · NPI assigned 09/10/2019

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

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

$3.03M
Total Medicaid Paid
43,372
Total Claims
31,798
Beneficiaries
16
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESLEY, IRIS (CEO)
Parent OrganizationBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI Enumeration Date09/10/2019

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 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 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
2019 2,092 $108K
2020 8,004 $450K
2021 9,756 $671K
2022 9,781 $728K
2023 7,831 $584K
2024 5,908 $492K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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