DEACONESS ILLINOIS CROSSROADS INC
NPI: 1528785284
· WAYNE CITY, IL 62895
· Rural Health Clinic/Center
· NPI assigned 10/24/2022
$141K
Total Medicaid Paid
Provider Details
| Authorized Official | LIPE, AMBER (CFO) |
| NPI Enumeration Date | 10/24/2022 |
Related Entities
Other providers sharing the same authorized official: LIPE, AMBER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,599 |
$75K |
| 2024 |
1,762 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,253 |
1,984 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
643 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
766 |
$0.00 |
| 3008F |
|
88 |
86 |
$0.00 |
| 1036F |
|
44 |
44 |
$0.00 |
| 3074F |
|
62 |
60 |
$0.00 |
| 1125F |
|
15 |
14 |
$0.00 |
| 1126F |
|
47 |
47 |
$0.00 |
| 1160F |
|
113 |
104 |
$0.00 |
| 1159F |
|
117 |
106 |
$0.00 |
| 3725F |
|
46 |
44 |
$0.00 |
| 3078F |
|
31 |
30 |
$0.00 |