Clinic
Southern Illinois Medical Services, NFP
Southern Illinois Medical Services, NFP was paid $12.43M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS MEDICAL SERVICES, NFP
HARRISBURG, IL 62946
HARRISBURG, IL 62946
33aNPI1750705364assigned 02/18/2014
33bProvider typeRural Health Clinic/Center
28Total paid$12.43M
24GClaims337,186
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#4 of 235
Median peer was paid$611K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 45,850 | $1.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 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 | <1% | 100 | 83 | $13.19 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 816 | 676 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 58,396 | 43,421 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 407 | 338 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,330 | 2,042 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 57,974 | 42,188 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 4,147 | 3,124 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 1,398 | 1,124 | $0.00 |
| 90723 | 0% | 593 | 571 | $0.00 | |
| 93000 | 0% | 260 | 218 | $0.00 | |
| 90686 | 0% | 1,430 | 1,219 | $0.00 |
45 more codes
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 67 | $0.00 |
| 90696 | 0% | 146 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 744 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 577 | $0.00 |
| 90647 | 0% | 591 | $0.00 | |
| 99441 | 0% | 37 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 111 | $0.00 |
| 90656 | 0% | 146 | $0.00 | |
| 99406 | 0% | 30 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 168 | $0.00 |
| 99407 | 0% | 53 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 16 | $0.00 |
| 90651 | 0% | 210 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 81025 | 0% | 1,260 | $0.00 | |
| 81002 | 0% | 467 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,255 | $0.00 |
| 99307 | 0% | 1,094 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 3,792 | $0.00 |
| 90461 | 0% | 2,082 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 664 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 3,601 | $0.00 |
| 90670 | 0% | 601 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,476 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 4,662 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,683 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 195 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 6,107 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,553 | $0.00 |
| 90715 | 0% | 421 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 317 | $0.00 |
| 90734 | 0% | 446 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,130 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 146 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 146 | $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) | 0% | 3,711 | $0.00 |
| 90633 | 0% | 211 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 1,473 | $0.00 |
| 90710 | 0% | 142 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 121 | $0.00 |
| 90681 | 0% | 149 | $0.00 | |
| 81003 | 0% | 52 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 65 | $0.00 |
| 90648 | 0% | 18 | $0.00 | |
| 87210 | 0% | 29 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
Parent organizationSOUTHERN ILLINOIS HOSPITAL SERVICES
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.