Shawnee Health Service and Development Corp
Shawnee Health Service and Development Corp was paid $691K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
MARION, IL 62959
Next to other Family Medicine Physician providers in Illinois
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,462 | $84K | |
| 2019 | 3,187 | $119K | |
| 2020 | 802 | $52K | |
| 2021 | 1,602 | $72K | |
| 2022 | 3,644 | $111K | |
| 2023 | 3,816 | $129K | |
| 2024incomplete | 2,917 | $124K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 5,671 | 3,121 | $624K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 9.6% | 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 | <1% | 26 | 24 | $329.87 |
| 90686 | <1% | 41 | 33 | $107.93 | |
| 96127 | <1% | 157 | 142 | $85.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 466 | 307 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 1,975 | 800 | $0.00 |
| 3725F | 0% | 956 | 770 | $0.00 | |
| 3078F | 0% | 838 | 679 | $0.00 | |
| 1159F | 0% | 491 | 397 | $0.00 | |
| 1160F | 0% | 528 | 426 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | 15 | $0.00 |
14 more codes
| 96160 | 0% | 29 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 29 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 37 | $0.00 |
| 99173 | 0% | 35 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 39 | $0.00 |
| 1036F | 0% | 1,041 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,474 | $0.00 |
| 3074F | 0% | 1,032 | $0.00 | |
| 3008F | 0% | 1,210 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 16 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 147 | $0.00 |
| 3079F | 0% | 69 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 226 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.