NPI: 1497002182 · SPRINGFIELD, IL 62702 · Primary Care Clinic/Center · NPI assigned 08/13/2012
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 | 08/13/2012 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55,387 | $2.41M |
| 2019 | 114,753 | $3.45M |
| 2020 | 71,589 | $3.43M |
| 2021 | 86,900 | $5.01M |
| 2022 | 75,039 | $4.60M |
| 2023 | 52,631 | $3.47M |
| 2024 | 45,591 | $3.37M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 227,271 | 141,892 | $25.47M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3,098 | 2,343 | $244K |
| 0012A | 187 | 187 | $8K | |
| 0011A | 213 | 212 | $7K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 120,334 | 82,648 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3,421 | 2,697 | $1K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19,616 | 15,738 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6,786 | 5,368 | $781.54 |
| 0001A | 15 | 15 | $632.10 | |
| 90670 | 2,529 | 1,962 | $610.33 | |
| 99381 | 72 | 57 | $551.40 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5,058 | 4,077 | $347.25 |
| 0502F | 4,898 | 2,478 | $310.92 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 263 | 258 | $285.78 |
| 90715 | 2,364 | 1,902 | $273.09 | |
| 90832 | Psychotherapy, 30 minutes with patient | 11,544 | 7,256 | $236.88 |
| 90686 | 5,126 | 3,946 | $167.97 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6,922 | 5,370 | $156.89 |
| 90633 | 1,823 | 1,379 | $121.71 | |
| 96127 | 6,103 | 4,861 | $104.55 | |
| 81025 | 4,647 | 3,640 | $85.12 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,227 | 1,843 | $84.64 |
| 83036 | Hemoglobin; glycosylated (A1C) | 5,586 | 4,547 | $81.97 |
| 81003 | 6,650 | 5,096 | $43.57 | |
| 90656 | 370 | 360 | $20.67 | |
| 90723 | 2,103 | 1,675 | $13.20 | |
| 90716 | 1,159 | 902 | $12.02 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2,568 | 1,811 | $9.94 |
| 90647 | 2,122 | 1,691 | $9.07 | |
| 90651 | 2,024 | 1,622 | $6.50 | |
| 90734 | 1,090 | 807 | $6.45 | |
| 36415 | Collection of venous blood by venipuncture | 944 | 874 | $2.70 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 584 | 435 | $1.75 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 1,345 | 927 | $0.30 |
| 90680 | 1,336 | 1,042 | $0.25 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,775 | 2,988 | $0.23 |
| 90791 | Psychiatric diagnostic evaluation | 691 | 512 | $0.18 |
| 80305 | 7,971 | 3,477 | $0.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,881 | 1,542 | $0.16 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,318 | 2,689 | $0.13 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2,648 | 835 | $0.11 |
| 90834 | Psychotherapy, 45 minutes with patient | 4,421 | 2,821 | $0.11 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,285 | 1,116 | $0.09 |
| 90710 | 125 | 119 | $0.08 | |
| 93000 | 768 | 566 | $0.07 | |
| 90700 | 344 | 257 | $0.06 | |
| 90837 | Psychotherapy, 53 minutes with patient | 2,146 | 1,352 | $0.05 |
| 90707 | 1,422 | 1,078 | $0.05 | |
| 0500F | 178 | 130 | $0.05 | |
| 90732 | 165 | 134 | $0.05 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 974 | 878 | $0.03 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1,330 | 1,216 | $0.02 |
| 90696 | 446 | 333 | $0.02 | |
| 83655 | 367 | 268 | $0.01 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1,339 | 1,060 | $0.01 |
| 91321 | 14 | 14 | $0.01 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 245 | 203 | $0.01 |
| 82962 | 155 | 96 | $0.01 | |
| 87807 | 118 | 115 | $0.01 | |
| 85018 | 139 | 99 | $0.01 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 375 | 303 | $0.00 |
| 99215 | Prolong outpt/office vis | 13 | 13 | $0.00 |
| 90750 | 112 | 110 | $0.00 | |
| 90662 | 42 | 36 | $0.00 | |
| 98926 | 50 | 50 | $0.00 | |
| 90619 | 213 | 209 | $0.00 | |
| 20610 | 103 | 89 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 908 | 616 | $0.00 |
| 90677 | 329 | 321 | $0.00 | |
| 90620 | 371 | 288 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 110 | 88 | $0.00 |
| 99384 | 53 | 41 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 127 | 89 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 142 | 136 | $0.00 |
| 99383 | 95 | 67 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 28 | 28 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 36 | 34 | $0.00 |
| 90674 | 12 | 12 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 66 | 40 | $0.00 |
| 92227 | 30 | 15 | $0.00 | |
| 99385 | 12 | 12 | $0.00 |