Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

NPI: 1750705364 · HARRISBURG, IL 62946 · Rural Health Clinic/Center · NPI assigned 02/18/2014

$12.43M
Total Medicaid Paid
337,186
Total Claims
240,183
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent OrganizationSOUTHERN ILLINOIS HOSPITAL SERVICES
NPI Enumeration Date02/18/2014

Related Entities

Other providers sharing the same authorized official: LADNER, WARREN

ProviderCityStateTotal Paid
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP CARBONDALE IL $15.18M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP HERRIN IL $9.14M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP WEST FRANKFORT IL $4.61M
HARRISBURG MEDICAL CENTER INC MARION IL $2.19M
SOUTHERN ILLINOIS HOSPITAL SERVICES WEST FRANKFORT IL $1.90M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP MURPHYSBORO IL $1.36M
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP BENTON IL $1.28M
HARRISBURG MEDICAL CENTER INC ELDORADO IL $924K
HARRISBURG MEDICAL CENTER INC HARRISBURG IL $280K
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP ANNA IL $248K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 166,357 110,678 $12.43M
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 100 83 $13.19
99308 Subsequent nursing facility care, per day, straightforward 816 676 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,396 43,421 $0.00
S5190 Wellness assessment, performed by non-physician 407 338 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,330 2,042 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57,974 42,188 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,147 3,124 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,398 1,124 $0.00
90723 593 571 $0.00
93000 260 218 $0.00
90686 1,430 1,219 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 67 50 $0.00
90696 146 142 $0.00
90834 Psychotherapy, 45 minutes with patient 744 293 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 577 554 $0.00
90647 591 563 $0.00
99441 37 34 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 111 63 $0.00
90656 146 142 $0.00
99406 30 27 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 168 131 $0.00
99407 53 35 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 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 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,255 992 $0.00
99307 1,094 897 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 3,792 2,842 $0.00
90461 2,082 1,539 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 664 578 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,601 2,095 $0.00
90670 601 581 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,476 1,277 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,662 3,673 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,683 1,440 $0.00
90472 Immunization administration, each additional vaccine (list separately) 195 193 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,107 5,034 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,553 1,312 $0.00
90715 421 408 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 317 315 $0.00
90734 446 432 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,130 1,808 $0.00
90791 Psychiatric diagnostic evaluation 146 98 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 146 124 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 3,711 3,270 $0.00
90633 211 206 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,473 1,185 $0.00
90710 142 136 $0.00
90837 Psychotherapy, 53 minutes with patient 121 70 $0.00
90681 149 142 $0.00
81003 52 36 $0.00
90832 Psychotherapy, 30 minutes with patient 65 49 $0.00
90648 18 18 $0.00
87210 29 15 $0.00