NPI: 1598412447 · JACKSONVILLE, IL 62650 · Primary Care Clinic/Center · NPI assigned 03/09/2022
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 | 03/09/2022 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,556 | $256K |
| 2023 | 6,732 | $488K |
| 2024 | 5,822 | $460K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 7,416 | 6,096 | $1.18M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 295 | 219 | $24K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,605 | 3,231 | $0.21 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,706 | 1,584 | $0.03 |
| 96127 | 1,359 | 1,225 | $0.01 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 351 | 347 | $0.01 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 722 | 606 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 67 | 60 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 31 | 28 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 126 | 124 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 13 | 13 | $0.00 |
| 80305 | 258 | 173 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 101 | 78 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 48 | 44 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 12 | 12 | $0.00 |