Clinic
Southern Illinois Medical Services, NFP
Southern Illinois Medical Services, NFP was paid $9.14M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS MEDICAL SERVICES, NFP
HERRIN, IL 62948
HERRIN, IL 62948
33aNPI1477820900assigned 11/29/2011
33bProvider typeRural Health Clinic/Center
28Total paid$9.14M
24GClaims290,010
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#7 of 235
Median peer was paid$611K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 32,198 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 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 | <1% | 129 | 109 | $13.19 |
| S5190 | Wellness assessment, performed by non-physician | <1% | 96 | 85 | $0.45 |
| 81002 | 0% | 3,322 | 2,712 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 5,084 | 4,337 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 1,305 | 1,001 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 3,356 | 1,756 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 333 | 301 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,052 | 1,806 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 125 | 119 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 955 | 819 | $0.00 |
| 81025 | 0% | 803 | 646 | $0.00 |
34 more codes
| 90837 | Psychotherapy session, about an hour | 0% | 786 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 75 | $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) | 0% | 1,424 | $0.00 |
| 90715 | 0% | 118 | $0.00 | |
| 90461 | 0% | 260 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 460 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 195 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 523 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 279 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 371 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 24 | $0.00 |
| 90670 | 0% | 82 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 590 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90633 | 0% | 60 | $0.00 | |
| 90681 | 0% | 94 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 18 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 51,780 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 305 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 539 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 579 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 52,069 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 2,524 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,395 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 2,418 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 6,905 | $0.00 |
| 87807 | 0% | 371 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 90686 | 0% | 1,190 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 52 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 264 | $0.00 |
| 90647 | 0% | 158 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 116 | $0.00 |
| 90723 | 0% | 172 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent organizationSOUTHERN ILLINOIS HOSPITAL SERVICES
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.