BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI: 1649628009
· JACKSONVILLE, IL 62650
· 261QF0400X
$1.48M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,770 |
$151K |
| 2019 |
5,778 |
$213K |
| 2020 |
5,478 |
$332K |
| 2021 |
7,545 |
$536K |
| 2022 |
3,193 |
$253K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
13,421 |
7,982 |
$1.48M |
| 99213 |
|
7,613 |
4,610 |
$482.53 |
| 99212 |
|
2,547 |
1,833 |
$310.22 |
| 99203 |
|
758 |
581 |
$0.01 |
| 99394 |
|
32 |
14 |
$0.00 |
| 99204 |
|
28 |
26 |
$0.00 |
| 81003 |
|
24 |
12 |
$0.00 |
| 90832 |
|
43 |
26 |
$0.00 |
| 90791 |
|
34 |
13 |
$0.00 |
| 96127 |
|
1,182 |
767 |
$0.00 |
| 96372 |
|
53 |
28 |
$0.00 |
| 99214 |
|
29 |
16 |
$0.00 |