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    OpenPayerNPI Medicare & MedicaidShawnee Health Service And Development Corp
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    Shawnee Health Service And Development Corp — Billing Profile & Reimbursement Data

    NPI 1285185173 · Carbondale, IL · Federally Qualified Health Center (FQHC)

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    Shawnee Health Service And Development Corp is a federally qualified health center (fqhc) provider located in Carbondale, Illinois. This profile covers 0 Medicare and 51 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationShawnee Health Service And Development Corp
    Address404 S. Lewis Lane
    CityCarbondale
    StateIL
    ZIP62901
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 17, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive73,080$130$9.7M
    T1040Medicaid certified community behavioral health clinic services, per diem100$70$6.7K
    G2012Brief 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…80$10$920
    1034FNo Summary found for this code200$0$0
    1036FN/A14,520$0$0
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.2,500$0$0
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.2,030$0$0
    1159FNo Summary found for this code6,790$0$0
    1160FNo Summary found for this code7,960$0$0
    3008FNo Summary found for this code19,940$0$0

    Showing 1–10 of 51

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    51 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive918507,490$120$3.9M
    T1040Medicaid certified community behavioral health clinic services, per diem163190880$70$128.2K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…7601,180370$90$109.7K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…361960330$30$51K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…63914,680300$50$48.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1,1221,380370$40$46.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…5914,190280$20$38.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1,0241,670160$40$26.4K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…303720250$30$25.7K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.7541,590110$40$21.4K

    Showing 1–10 of 51

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Shawnee Health Service And Development Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$13.2M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$11.1M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.8M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.7M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.1M
    Shawnee Health Service & Development CorpILFederally Qualified Health Center (FQHC)$0$4M
    Kalpesh PatelILInternal Medicine Physician$229.4K$37.8K
    Kimberly MiddletonTXFamily Medicine Physician$111K$0

    Nearby Providers

    Other providers in the same ZIP code as Shawnee Health Service And Development Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, Inc.ILRehabilitation Hospital$0$20.4M
    Southern Illinois Medical Services, NfpILRural Health Clinic/Center$0$15.2M
    Centerstone Of Illinois, IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$4.6M
    Gateway Foundation, Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.1M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$3M
    Nader DababnehILGastroenterology Physician$111.5K$813.7K
    Zahoor MakhdoomILGastroenterology Physician$850.9K$61.2K
    Susan SchabergILDermatology Physician$831.8K$0
    Fakhre AlamILNeurology Physician$282.6K$468.2K
    Gerson CristeILPain Medicine (Psychiatry & Neurology) Physician$181.3K$514.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Shawnee Health Service And Development Corp — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois