NPI: 1851934871 · TAYLORVILLE, IL 62568 · Primary Care Clinic/Center · NPI assigned 10/22/2019
Authorized official WESLEY, IRIS controls 19+ related entities in our dataset. Read more
| Authorized Official | WESLEY, IRIS (CEO) |
| Parent Organization | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| NPI Enumeration Date | 10/22/2019 |
Other providers sharing the same authorized official: WESLEY, IRIS
| 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 |
| 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 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,105 | 4,960 | $18.38 |
| 90832 | Psychotherapy, 30 minutes with patient | 880 | 613 | $0.14 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 931 | 797 | $0.04 |
| 80305 | 283 | 223 | $0.01 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 144 | 112 | $0.01 |
| 90686 | 27 | 26 | $0.01 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 109 | 89 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 143 | 90 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 14 | 14 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 379 | 263 | $0.00 |
| 96127 | 65 | 63 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 14 | 13 | $0.00 |