Shawnee Health Service and Development Corp
Shawnee Health Service and Development Corp was paid $6.82M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
MARION, IL 62959
Next to other Mental Health Counselor providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,838 | $438K | |
| 2019 | 17,672 | $644K | |
| 2020 | 12,569 | $733K | |
| 2021 | 29,507 | $938K | |
| 2022 | 51,393 | $1.33M | |
| 2023 | 49,689 | $1.48M | |
| 2024incomplete | 32,039 | $1.27M |
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 | 98% | 52,464 | 37,433 | $6.69M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.8% | 1,635 | 777 | $125K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 976 | 876 | $12K |
| 90686 | <1% | 503 | 389 | $858.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,084 | 997 | $627.84 |
| 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 | <1% | 13,098 | 11,234 | $72.97 |
| 80305 | <1% | 726 | 546 | $26.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,205 | 2,870 | $25.65 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | 44 | $15.65 |
| 96127 | <1% | 262 | 248 | $4.55 | |
| 81002 | <1% | 49 | 46 | $2.60 | |
| 81025 | <1% | 16 | 12 | $2.58 |
44 more codes
| 3079F | 0% | 5,984 | $0.00 | |
| 1126F | 0% | 5,849 | $0.00 | |
| 3008F | 0% | 17,229 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 19,665 | $0.00 |
| 1036F | 0% | 8,689 | $0.00 | |
| 3074F | 0% | 12,058 | $0.00 | |
| 1125F | 0% | 5,037 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 154 | $0.00 |
| 3080F | 0% | 1,343 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 400 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 627 | $0.00 |
| 3075F | 0% | 3,251 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 800 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 578 | $0.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 88 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 18 | $0.00 |
| 1035F | 0% | 155 | $0.00 | |
| 1034F | 0% | 268 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 29 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 33 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 12 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,055 | $0.00 |
| 3078F | 0% | 9,730 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,119 | $0.00 |
| 1160F | 0% | 8,004 | $0.00 | |
| 3077F | 0% | 1,766 | $0.00 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 132 | $0.00 |
| 1159F | 0% | 6,840 | $0.00 | |
| 3725F | 0% | 12,228 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 155 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 161 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 25 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 383 | $0.00 |
| 90715 | 0% | 170 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 226 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 54 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 15 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 80 | $0.00 |
| 90461 | 0% | 30 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 58 | $0.00 |
| 81003 | 0% | 57 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| 99173 | 0% | 63 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.