NPI: 1679188437 · SPRINGFIELD, IL 62702 · Primary Care Clinic/Center · NPI assigned 09/09/2020
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 09/09/2020 |
Other providers sharing the same authorized official: WESLEY, IRIS
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,489 | $152K |
| 2022 | 8,179 | $559K |
| 2023 | 7,894 | $516K |
| 2024 | 5,943 | $498K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 14,480 | 11,782 | $1.68M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 638 | 347 | $49K |
| 90834 | Psychotherapy, 45 minutes with patient | 274 | 149 | $44.32 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,399 | 3,899 | $0.27 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,421 | 3,005 | $0.10 |
| 90656 | 38 | 38 | $0.02 | |
| 90837 | Psychotherapy, 53 minutes with patient | 695 | 371 | $0.02 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 70 | 56 | $0.01 |
| 90686 | 319 | 298 | $0.00 | |
| 90677 | 16 | 15 | $0.00 | |
| 90715 | 25 | 25 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 118 | 113 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12 | 12 | $0.00 |