NPI: 1770648917 · EAST SAINT LOUIS, IL 62201 · Family Medicine Physician · NPI assigned 12/27/2006
Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLEY, LARRY (PRESIDENT) |
| NPI Enumeration Date | 12/27/2006 |
Other providers sharing the same authorized official: MCCULLEY, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,452 | $140K |
| 2019 | 6,656 | $212K |
| 2020 | 3,936 | $216K |
| 2021 | 4,521 | $260K |
| 2022 | 4,165 | $238K |
| 2023 | 5,113 | $272K |
| 2024 | 6,632 | $292K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 11,899 | 9,193 | $1.63M |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,004 | 932 | $100.80 |
| 96127 | 2,274 | 1,975 | $21.70 | |
| 81025 | 146 | 116 | $10.26 | |
| 81003 | 1,041 | 868 | $4.36 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 949 | 785 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 720 | 628 | $0.00 |
| 3078F | 674 | 633 | $0.00 | |
| 99173 | 585 | 483 | $0.00 | |
| 81002 | 86 | 69 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 552 | 446 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 169 | 124 | $0.00 |
| 3725F | 399 | 388 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 25 | 25 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12 | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 12 | 12 | $0.00 |
| 1160F | 39 | 37 | $0.00 | |
| 90734 | 15 | 12 | $0.00 | |
| 90658 | 42 | 42 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12 | 12 | $0.00 |
| 90670 | 12 | 12 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,322 | 3,458 | $0.00 |
| 3074F | 745 | 696 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 1,745 | 1,602 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 205 | 146 | $0.00 |
| 92551 | 462 | 378 | $0.00 | |
| 90686 | 1,407 | 1,154 | $0.00 | |
| 94760 | 363 | 302 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 426 | 373 | $0.00 |
| 86580 | 179 | 137 | $0.00 | |
| 90656 | 67 | 58 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 792 | 739 | $0.00 |
| 1036F | 718 | 670 | $0.00 | |
| 82962 | 72 | 70 | $0.00 | |
| 3008F | 911 | 851 | $0.00 | |
| 90688 | 144 | 99 | $0.00 | |
| 36410 | 25 | 25 | $0.00 | |
| 90620 | 96 | 60 | $0.00 | |
| 3079F | 38 | 36 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 39 | 37 | $0.00 |
| 90651 | 13 | 12 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 39 | 37 | $0.00 |