Clinic
Southern Illinois Medical Services, NFP
Southern Illinois Medical Services, NFP was paid $248K by Medicaid between Jan 2020 and Oct 2024, across 6 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
ANNA, IL 62906
ANNA, IL 62906
33aNPI1538689062assigned 06/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$248K
24GClaims5,328
24DCodes billed6
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#171 of 235
Median peer was paid$611K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 1,563 | $69K | |
| 2021 | 1,723 | $75K | |
| 2022 | 1,472 | $69K | |
| 2023 | 200 | $12K | |
| 2024incomplete | 370 | $23K |
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% | 3,411 | 2,755 | $248K |
| 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% | 30 | 26 | $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% | 17 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | 14 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,060 | 914 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 794 | 683 | $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 | Herrin, IL | $9.14M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.