Medicaid Provider Spending

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI: 1881624161 · MARION, IL 62959 · Family Medicine Physician · NPI assigned 07/03/2006

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

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

$691K
Total Medicaid Paid
17,430
Total Claims
11,311
Beneficiaries
26
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 Date07/03/2006

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 AND DEVELOPMENT CORP CARTERVILLE IL $6.10M
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 $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 1,462 $84K
2019 3,187 $119K
2020 802 $52K
2021 1,602 $72K
2022 3,644 $111K
2023 3,816 $129K
2024 2,917 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,671 3,121 $624K
T1040 Medicaid certified community behavioral health clinic services, per diem 861 381 $66K
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 26 24 $329.87
90686 41 33 $107.93
96127 157 142 $85.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 466 307 $0.00
90832 Psychotherapy, 30 minutes with patient 1,975 800 $0.00
3725F 956 770 $0.00
3078F 838 679 $0.00
1159F 491 397 $0.00
1160F 528 426 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 15 $0.00
96160 29 29 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 37 28 $0.00
99173 35 28 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 39 33 $0.00
1036F 1,041 816 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,474 1,071 $0.00
3074F 1,032 830 $0.00
3008F 1,210 965 $0.00
36415 Collection of venous blood by venipuncture 16 13 $0.00
S5190 Wellness assessment, performed by non-physician 147 94 $0.00
3079F 69 66 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 226 200 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 14 $0.00