NPI: 1609813500 · CENTREVILLE, IL 62207 · Obstetrics & Gynecology Physician · NPI assigned 05/31/2006
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 05/31/2006 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43,884 | $2.06M |
| 2019 | 84,959 | $2.61M |
| 2020 | 53,965 | $2.96M |
| 2021 | 58,672 | $2.59M |
| 2022 | 44,166 | $2.37M |
| 2023 | 39,963 | $2.57M |
| 2024 | 44,215 | $2.65M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 128,594 | 93,678 | $16.76M |
| D0999 | Unspecified diagnostic procedure, by report | 8,132 | 7,611 | $989K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 877 | 763 | $66K |
| 90670 | 2,694 | 2,184 | $915.00 | |
| 90688 | 504 | 330 | $693.04 | |
| 90716 | 478 | 397 | $394.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2,543 | 2,002 | $312.62 |
| 81003 | 4,443 | 2,691 | $142.12 | |
| 90686 | 3,701 | 3,116 | $107.95 | |
| 90707 | 401 | 340 | $70.92 | |
| 92551 | 941 | 694 | $30.40 | |
| 96127 | 8,018 | 5,814 | $22.00 | |
| 81025 | 5,750 | 4,535 | $15.48 | |
| 99173 | 2,448 | 1,940 | $14.90 | |
| 90651 | 2,223 | 1,813 | $6.40 | |
| 81002 | 2,068 | 1,443 | $5.20 | |
| 3079F | 1,696 | 1,563 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26,757 | 20,790 | $0.00 |
| 90723 | 620 | 460 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2,054 | 1,708 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 4,798 | 4,682 | $0.00 |
| 90677 | 274 | 256 | $0.00 | |
| 90656 | 132 | 119 | $0.00 | |
| 90698 | 1,580 | 1,304 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 1,157 | 1,131 | $0.00 |
| 1036F | 7,368 | 6,353 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33,638 | 25,801 | $0.00 |
| D1206 | Topical application of fluoride varnish | 5,986 | 5,830 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 41 | 40 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,030 | 992 | $0.00 |
| 3008F | 10,192 | 8,882 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 34 | 29 | $0.00 |
| 3074F | 7,619 | 6,595 | $0.00 | |
| 90620 | 195 | 171 | $0.00 | |
| 0500F | 693 | 547 | $0.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 513 | 422 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2,037 | 1,566 | $0.00 |
| 3075F | 691 | 662 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 84 | 64 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 657 | 641 | $0.00 |
| 99381 | 129 | 101 | $0.00 | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 103 | 100 | $0.00 |
| 3080F | 412 | 391 | $0.00 | |
| 1126F | 443 | 371 | $0.00 | |
| 90744 | 500 | 480 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 397 | 275 | $0.00 |
| 90696 | 408 | 326 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 15 | $0.00 |
| 1125F | 47 | 43 | $0.00 | |
| 90697 | 16 | 13 | $0.00 | |
| 82962 | 34 | 33 | $0.00 | |
| 85018 | 30 | 30 | $0.00 | |
| 0503F | 49 | 38 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 80 | 40 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 12 | 12 | $0.00 |
| D1351 | Sealant - per tooth | 52 | 15 | $0.00 |
| 90734 | 1,388 | 1,117 | $0.00 | |
| 99215 | Prolong outpt/office vis | 377 | 297 | $0.00 |
| D0274 | Bitewings - four radiographic images | 1,060 | 1,031 | $0.00 |
| 0502F | 5,398 | 3,018 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 4,695 | 3,530 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25,774 | 20,699 | $0.00 |
| 3078F | 6,954 | 6,036 | $0.00 | |
| D1120 | Prophylaxis - child | 5,995 | 5,838 | $0.00 |
| 3725F | 2,971 | 2,746 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3,513 | 2,866 | $0.00 |
| 90715 | 1,453 | 1,153 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3,082 | 2,597 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 337 | 280 | $0.00 |
| 90633 | 1,809 | 1,534 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 577 | 567 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 333 | 266 | $0.00 |
| 3077F | 728 | 687 | $0.00 | |
| 90710 | 687 | 567 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3,007 | 2,370 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,581 | 2,989 | $0.00 |
| 1160F | 7,027 | 5,911 | $0.00 | |
| 90681 | 677 | 518 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 283 | 279 | $0.00 |
| 90648 | 722 | 554 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 236 | 184 | $0.00 |
| D2140 | 347 | 235 | $0.00 | |
| 90700 | 60 | 59 | $0.00 | |
| 90687 | 113 | 51 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 25 | 25 | $0.00 |
| 90713 | 14 | 13 | $0.00 | |
| D1354 | 159 | 112 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 49 | 39 | $0.00 |