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SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
NPI: 1780985135
· BENTON, IL 62812
· Rural Health Clinic/Center
· NPI assigned 11/16/2010
$1.28M
Total Medicaid Paid
Provider Details
| Authorized Official | LADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER) |
| Parent Organization | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| NPI Enumeration Date | 11/16/2010 |
Related Entities
Other providers sharing the same authorized official: LADNER, WARREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,450 |
$151K |
| 2019 |
8,793 |
$325K |
| 2020 |
4,125 |
$181K |
| 2021 |
3,317 |
$160K |
| 2022 |
3,627 |
$179K |
| 2023 |
3,506 |
$173K |
| 2024 |
2,342 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
16,361 |
11,418 |
$1.28M |
| 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) |
185 |
174 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,256 |
5,552 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,339 |
3,091 |
$0.00 |