NPI: 1497033948 · CENTREVILLE, IL 62207 · Family Medicine Physician · NPI assigned 08/02/2011
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CEO) |
| NPI Enumeration Date | 08/02/2011 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 798 | $74K |
| 2024 | 4,194 | $186K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,459 | 1,163 | $260K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 318 | 245 | $0.00 |
| 99173 | 117 | 100 | $0.00 | |
| 3725F | 165 | 126 | $0.00 | |
| 90715 | 74 | 56 | $0.00 | |
| 3078F | 432 | 353 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 174 | 142 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 133 | 106 | $0.00 |
| 90734 | 197 | 136 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 23 | 23 | $0.00 |
| 1160F | 14 | 13 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 166 | 141 | $0.00 |
| 3074F | 524 | 422 | $0.00 | |
| 3008F | 544 | 439 | $0.00 | |
| 1126F | 60 | 43 | $0.00 | |
| 90651 | 151 | 112 | $0.00 | |
| 1036F | 301 | 240 | $0.00 | |
| 90620 | 24 | 18 | $0.00 | |
| 3079F | 50 | 36 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 29 | 19 | $0.00 |
| 99384 | 37 | 24 | $0.00 |