NPI: 1750530424 · COLLINSVILLE, IL 62234 · Professional Counselor · NPI assigned 09/17/2008
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 09/17/2008 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,673 | $457K |
| 2019 | 24,472 | $750K |
| 2020 | 18,051 | $941K |
| 2021 | 10,332 | $661K |
| 2022 | 9,019 | $588K |
| 2023 | 10,345 | $599K |
| 2024 | 16,196 | $704K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 30,771 | 20,780 | $3.63M |
| D0999 | Unspecified diagnostic procedure, by report | 8,267 | 7,624 | $906K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 2,341 | 1,523 | $166K |
| 90688 | 212 | 123 | $344.40 | |
| 96127 | 2,180 | 1,641 | $25.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 759 | 596 | $18.90 |
| 81003 | 76 | 56 | $2.18 | |
| D0120 | Periodic oral evaluation - established patient | 2,749 | 2,649 | $0.00 |
| 1036F | 977 | 930 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 1,578 | 1,518 | $0.00 |
| D1206 | Topical application of fluoride varnish | 5,111 | 4,918 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,789 | 1,853 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 1,060 | 942 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 929 | 758 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1,199 | 1,143 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,788 | 9,846 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,392 | 2,298 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 129 | 124 | $0.00 |
| 3074F | 979 | 929 | $0.00 | |
| D1351 | Sealant - per tooth | 354 | 127 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 130 | 118 | $0.00 |
| 3008F | 1,523 | 1,438 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 612 | 534 | $0.00 |
| 90686 | 102 | 71 | $0.00 | |
| 3075F | 235 | 230 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 52 | 50 | $0.00 |
| 3079F | 530 | 517 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 177 | 153 | $0.00 |
| 3080F | 57 | 55 | $0.00 | |
| 90651 | 28 | 28 | $0.00 | |
| 90656 | 58 | 54 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 7,458 | 3,715 | $0.00 |
| D1120 | Prophylaxis - child | 4,212 | 4,050 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 801 | 670 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 416 | 362 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,560 | 2,236 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 509 | 459 | $0.00 |
| 3078F | 782 | 745 | $0.00 | |
| 3725F | 889 | 855 | $0.00 | |
| D1354 | 268 | 242 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 113 | 77 | $0.00 |
| D0330 | Panoramic radiographic image | 410 | 410 | $0.00 |
| D0274 | Bitewings - four radiographic images | 1,332 | 1,287 | $0.00 |
| 3077F | 187 | 179 | $0.00 | |
| 90715 | 39 | 39 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 366 | 354 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 122 | 99 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 54 | 51 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 197 | 127 | $0.00 |
| 1160F | 62 | 60 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 167 | 129 | $0.00 |