Medicaid Provider Spending

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

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

NPI: 1477820900 · HERRIN, IL 62948 · Rural Health Clinic/Center · NPI assigned 11/29/2011

$9.14M
Total Medicaid Paid
290,010
Total Claims
208,411
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent OrganizationSOUTHERN ILLINOIS HOSPITAL SERVICES
NPI Enumeration Date11/29/2011

Related Entities

Other providers sharing the same authorized official: LADNER, WARREN

ProviderCityStateTotal Paid
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP CARBONDALE IL $15.18M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP HARRISBURG IL $12.43M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP WEST FRANKFORT IL $4.61M
HARRISBURG MEDICAL CENTER INC MARION IL $2.19M
SOUTHERN ILLINOIS HOSPITAL SERVICES WEST FRANKFORT IL $1.90M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP MURPHYSBORO IL $1.36M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP BENTON IL $1.28M
HARRISBURG MEDICAL CENTER INC ELDORADO IL $924K
HARRISBURG MEDICAL CENTER INC HARRISBURG IL $280K
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP ANNA IL $248K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,540 $1.10M
2019 62,008 $1.54M
2020 50,118 $1.56M
2021 32,880 $1.11M
2022 34,187 $1.22M
2023 41,079 $1.43M
2024 32,198 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 146,213 101,797 $9.14M
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 129 109 $13.19
S5190 Wellness assessment, performed by non-physician 96 85 $0.45
81002 3,322 2,712 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,084 4,337 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,305 1,001 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,356 1,756 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 333 301 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,052 1,806 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 125 119 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 955 819 $0.00
81025 803 646 $0.00
90837 Psychotherapy, 53 minutes with patient 786 309 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 75 72 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,424 1,375 $0.00
90715 118 78 $0.00
90461 260 248 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 460 402 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 195 187 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 523 368 $0.00
99215 Prolong outpt/office vis 279 264 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 371 329 $0.00
90791 Psychiatric diagnostic evaluation 24 24 $0.00
90670 82 82 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 590 469 $0.00
90700 12 12 $0.00
90633 60 55 $0.00
90681 94 94 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 18 16 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,780 40,962 $0.00
99308 Subsequent nursing facility care, per day, straightforward 305 192 $0.00
90834 Psychotherapy, 45 minutes with patient 539 316 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 579 377 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,069 35,617 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 2,524 1,927 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,395 904 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,418 1,415 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,905 5,058 $0.00
87807 371 289 $0.00
90656 29 25 $0.00
90686 1,190 848 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 52 44 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 264 139 $0.00
90647 158 154 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 116 101 $0.00
90723 172 171 $0.00