Medicaid Provider Spending

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

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

NPI: 1497002182 · SPRINGFIELD, IL 62702 · Primary Care Clinic/Center · NPI assigned 08/13/2012

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

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

$25.75M
Total Medicaid Paid
501,890
Total Claims
338,413
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWESLEY, IRIS (CEO)
Parent OrganizationBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI Enumeration Date08/13/2012

Related Entities

Other providers sharing the same authorized official: WESLEY, IRIS

ProviderCityStateTotal Paid
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 CARBONDALE IL $3.03M
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
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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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