BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI: 1851934871
· TAYLORVILLE, IL 62568
· Primary Care Clinic/Center
· NPI assigned 10/22/2019
$1.58M
Total Medicaid Paid
Provider Details
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 10/22/2019 |
Related Entities
Other providers sharing the same authorized official: WESLEY, IRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
70 |
$5K |
| 2020 |
2,696 |
$169K |
| 2021 |
4,661 |
$331K |
| 2022 |
4,306 |
$333K |
| 2023 |
4,312 |
$340K |
| 2024 |
5,390 |
$403K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,358 |
8,533 |
$1.50M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
971 |
637 |
$77K |
| 99213 |
|
6,105 |
4,960 |
$18.38 |
| 90832 |
|
880 |
613 |
$0.14 |
| 99214 |
|
931 |
797 |
$0.04 |
| 80305 |
|
283 |
223 |
$0.01 |
| 99203 |
|
144 |
112 |
$0.01 |
| 90686 |
|
27 |
26 |
$0.01 |
| 99212 |
|
109 |
89 |
$0.00 |
| 90837 |
|
143 |
90 |
$0.00 |
| 99393 |
|
12 |
12 |
$0.00 |
| 90791 |
|
14 |
14 |
$0.00 |
| 90834 |
|
379 |
263 |
$0.00 |
| 96127 |
|
65 |
63 |
$0.00 |
| 96110 |
|
14 |
13 |
$0.00 |