SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
NPI: 1750705364
· HARRISBURG, IL 62946
· 261QR1300X
$12.43M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
28,539 |
$1.07M |
| 2019 |
62,319 |
$1.58M |
| 2020 |
56,429 |
$2.06M |
| 2021 |
47,740 |
$1.96M |
| 2022 |
49,028 |
$2.01M |
| 2023 |
47,281 |
$1.93M |
| 2024 |
45,850 |
$1.83M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
166,357 |
110,678 |
$12.43M |
| G2012 |
Brief check in by md/qhp |
100 |
83 |
$13.19 |
| 99308 |
|
816 |
676 |
$0.00 |
| 99213 |
|
58,396 |
43,421 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
407 |
338 |
$0.00 |
| 90471 |
|
2,330 |
2,042 |
$0.00 |
| 99214 |
|
57,974 |
42,188 |
$0.00 |
| 96372 |
|
4,147 |
3,124 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,398 |
1,124 |
$0.00 |
| 90723 |
|
593 |
571 |
$0.00 |
| 93000 |
|
260 |
218 |
$0.00 |
| 90686 |
|
1,430 |
1,219 |
$0.00 |
| J3420 |
Vitamin b12 injection |
67 |
50 |
$0.00 |
| 90696 |
|
146 |
142 |
$0.00 |
| 90834 |
|
744 |
293 |
$0.00 |
| 99309 |
|
577 |
554 |
$0.00 |
| 90647 |
|
591 |
563 |
$0.00 |
| 99441 |
|
37 |
34 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
111 |
63 |
$0.00 |
| 90656 |
|
146 |
142 |
$0.00 |
| 99406 |
|
30 |
27 |
$0.00 |
| 99202 |
|
168 |
131 |
$0.00 |
| 99407 |
|
53 |
35 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
16 |
12 |
$0.00 |
| 90651 |
|
210 |
201 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 81025 |
|
1,260 |
1,038 |
$0.00 |
| 81002 |
|
467 |
438 |
$0.00 |
| 99203 |
|
1,255 |
992 |
$0.00 |
| 99307 |
|
1,094 |
897 |
$0.00 |
| 90460 |
|
3,792 |
2,842 |
$0.00 |
| 90461 |
|
2,082 |
1,539 |
$0.00 |
| 99395 |
|
664 |
578 |
$0.00 |
| 87804 |
|
3,601 |
2,095 |
$0.00 |
| 90670 |
|
601 |
581 |
$0.00 |
| 99393 |
|
1,476 |
1,277 |
$0.00 |
| 87880 |
|
4,662 |
3,673 |
$0.00 |
| 99391 |
|
1,683 |
1,440 |
$0.00 |
| 90472 |
|
195 |
193 |
$0.00 |
| 99212 |
|
6,107 |
5,034 |
$0.00 |
| 99394 |
|
1,553 |
1,312 |
$0.00 |
| 90715 |
|
421 |
408 |
$0.00 |
| 99204 |
|
317 |
315 |
$0.00 |
| 90734 |
|
446 |
432 |
$0.00 |
| 99392 |
|
2,130 |
1,808 |
$0.00 |
| 90791 |
|
146 |
98 |
$0.00 |
| 99396 |
|
146 |
124 |
$0.00 |
| G2211 |
Complex e/m visit add on |
3,711 |
3,270 |
$0.00 |
| 90633 |
|
211 |
206 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,473 |
1,185 |
$0.00 |
| 90710 |
|
142 |
136 |
$0.00 |
| 90837 |
|
121 |
70 |
$0.00 |
| 90681 |
|
149 |
142 |
$0.00 |
| 81003 |
|
52 |
36 |
$0.00 |
| 90832 |
|
65 |
49 |
$0.00 |
| 90648 |
|
18 |
18 |
$0.00 |
| 87210 |
|
29 |
15 |
$0.00 |