Medicaid Provider Spending

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1811928732 · CARTERVILLE, IL 62918 · Mental Health Counselor · NPI assigned 07/06/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARNEY, CHRISTINA controls 16+ related entities in our dataset. Read more

$6.10M
Total Medicaid Paid
167,483
Total Claims
129,050
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARNEY, CHRISTINA (CEO)
Parent OrganizationSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: CARNEY, CHRISTINA

ProviderCityStateTotal Paid
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $13.24M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MURPHYSBORO IL $11.13M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $9.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $6.82M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $6.66M
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP CARBONDALE IL $3.96M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2.76M
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $944K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $691K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $623K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $552K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARTERVILLE IL $47K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $14K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP CARBONDALE IL $7K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MARION IL $2K
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP MURPHYSBORO IL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,992 $765K
2019 25,969 $837K
2020 15,466 $807K
2021 23,963 $819K
2022 30,026 $831K
2023 30,299 $957K
2024 26,768 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 54,086 37,078 $5.83M
T1040 Medicaid certified community behavioral health clinic services, per diem 3,246 1,470 $243K
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 733 678 $9K
0012A 64 64 $3K
0011A 62 62 $3K
90686 1,240 859 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,947 17,009 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 430 318 $637.65
90832 Psychotherapy, 30 minutes with patient 4,929 2,545 $530.64
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,003 5,883 $437.82
90670 85 45 $430.66
90791 Psychiatric diagnostic evaluation 270 246 $244.22
90715 195 116 $127.27
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 259 147 $87.10
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 162 116 $76.84
90834 Psychotherapy, 45 minutes with patient 3,136 1,704 $44.20
S5190 Wellness assessment, performed by non-physician 925 729 $9.81
80305 23 18 $8.98
82962 35 15 $1.68
1036F 6,971 6,144 $0.00
3075F 2,193 2,063 $0.00
3080F 879 834 $0.00
3008F 11,013 9,835 $0.00
96127 2,172 2,011 $0.00
3079F 4,060 3,753 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 12 $0.00
3074F 7,364 6,662 $0.00
1125F 53 49 $0.00
1035F 87 82 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,401 910 $0.00
1126F 40 40 $0.00
36416 28 12 $0.00
1034F 131 128 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 65 65 $0.00
3077F 1,571 1,444 $0.00
1160F 5,839 5,073 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 505 333 $0.00
3078F 6,154 5,604 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,956 2,539 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 259 204 $0.00
90472 Immunization administration, each additional vaccine (list separately) 158 79 $0.00
3725F 7,975 7,185 $0.00
90837 Psychotherapy, 53 minutes with patient 447 249 $0.00
1159F 4,921 4,318 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 252 243 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 120 53 $0.00