Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1649405150 · MARION, IL 62959 · Mental Health Counselor · NPI assigned 05/28/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARNEY, CHRISTINA controls 16+ related entities in our dataset. Read more

$6.82M
Total Medicaid Paid
200,707
Total Claims
163,627
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARNEY, CHRISTINA (CEO)
Parent OrganizationSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI Enumeration Date05/28/2009

Related Entities

Other providers sharing the same authorized official: CARNEY, CHRISTINA

ProviderCityStateTotal Paid
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $13.24M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MURPHYSBORO IL $11.13M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $9.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $6.66M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $6.10M
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP CARBONDALE IL $3.96M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $944K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $691K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $623K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $552K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $47K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $14K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $7K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MURPHYSBORO IL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 32,039 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 52,464 37,433 $6.69M
T1040 Medicaid certified community behavioral health clinic services, per diem 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 976 876 $12K
90686 503 389 $858.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,084 997 $627.84
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,098 11,234 $72.97
80305 726 546 $26.94
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,205 2,870 $25.65
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 44 $15.65
96127 262 248 $4.55
81002 49 46 $2.60
81025 16 12 $2.58
3079F 5,984 5,534 $0.00
1126F 5,849 5,446 $0.00
3008F 17,229 14,934 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,665 14,930 $0.00
1036F 8,689 7,497 $0.00
3074F 12,058 10,634 $0.00
1125F 5,037 4,561 $0.00
76830 Ultrasound, transvaginal 154 153 $0.00
3080F 1,343 1,245 $0.00
36415 Collection of venous blood by venipuncture 400 361 $0.00
S5190 Wellness assessment, performed by non-physician 627 510 $0.00
3075F 3,251 3,060 $0.00
90834 Psychotherapy, 45 minutes with patient 800 531 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 578 468 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 88 77 $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 18 16 $0.00
1035F 155 141 $0.00
1034F 268 247 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29 27 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 28 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,055 1,013 $0.00
3078F 9,730 8,653 $0.00
90832 Psychotherapy, 30 minutes with patient 3,119 1,642 $0.00
1160F 8,004 6,924 $0.00
3077F 1,766 1,629 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 132 119 $0.00
1159F 6,840 5,906 $0.00
3725F 12,228 10,594 $0.00
90837 Psychotherapy, 53 minutes with patient 155 91 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 161 159 $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 25 25 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 383 369 $0.00
90715 170 167 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 226 159 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 54 36 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 80 56 $0.00
90461 30 30 $0.00
90791 Psychiatric diagnostic evaluation 58 57 $0.00
81003 57 50 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $0.00
99173 63 24 $0.00