BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI: 1679188437
· SPRINGFIELD, IL 62702
· 261QP2300X
$1.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,489 |
$152K |
| 2022 |
8,179 |
$559K |
| 2023 |
7,894 |
$516K |
| 2024 |
5,943 |
$498K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
14,480 |
11,782 |
$1.68M |
| T1040 |
Comm bh clinic svc per diem |
638 |
347 |
$49K |
| 90834 |
|
274 |
149 |
$44.32 |
| 99214 |
|
4,399 |
3,899 |
$0.27 |
| 99213 |
|
3,421 |
3,005 |
$0.10 |
| 90656 |
|
38 |
38 |
$0.02 |
| 90837 |
|
695 |
371 |
$0.02 |
| 99204 |
|
70 |
56 |
$0.01 |
| 90686 |
|
319 |
298 |
$0.00 |
| 90677 |
|
16 |
15 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 99212 |
|
118 |
113 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |