Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

NPI: 1023371143 · MATTOON, IL 61938 · Psychiatry Physician · NPI assigned 06/22/2012

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

Authorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more

$2.40M
Total Medicaid Paid
51,631
Total Claims
37,291
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT/CEO)
NPI Enumeration Date06/22/2012

Related Entities

Other providers sharing the same authorized official: MCCULLEY, LARRY

ProviderCityStateTotal Paid
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. ALTON IL $21.08M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. EAST ALTON IL $20.39M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC GRANITE CITY IL $20.37M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC CENTREVILLE IL $17.82M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC EAST ST LOUIS IL $12.04M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC BELLEVILLE IL $10.15M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. EAST SAINT LOUIS IL $9.77M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC O FALLON IL $7.91M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. SALEM IL $7.88M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. BELLEVILLE IL $6.30M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. OLNEY IL $6.27M
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. BELLEVILLE IL $5.24M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. COLLINSVILLE IL $4.70M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC EFFINGHAM IL $4.34M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. VANDALIA IL $2.58M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. BELLEVILLE IL $2.53M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. CHARLESTON IL $2.20M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. BUNKER HILL IL $1.99M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. EAST SAINT LOUIS IL $1.63M
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,014 $118K
2019 9,427 $249K
2020 6,911 $389K
2021 5,931 $345K
2022 6,974 $424K
2023 6,876 $408K
2024 13,498 $472K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 21,185 13,368 $2.36M
T1040 Medicaid certified community behavioral health clinic services, per diem 665 431 $44K
90688 109 93 $71.36
83036 Hemoglobin; glycosylated (A1C) 972 669 $31.50
81003 283 154 $21.80
82962 228 160 $1.68
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,375 7,155 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 799 758 $0.00
90686 101 64 $0.00
3074F 1,280 1,174 $0.00
90834 Psychotherapy, 45 minutes with patient 214 162 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 887 760 $0.00
96127 1,423 1,169 $0.00
1126F 684 647 $0.00
1036F 783 715 $0.00
36415 Collection of venous blood by venipuncture 1,470 1,347 $0.00
3079F 136 135 $0.00
1125F 366 338 $0.00
3008F 1,524 1,388 $0.00
S5190 Wellness assessment, performed by non-physician 160 125 $0.00
3075F 59 59 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 14 14 $0.00
36410 40 39 $0.00
90832 Psychotherapy, 30 minutes with patient 1,292 788 $0.00
90837 Psychotherapy, 53 minutes with patient 2,907 1,500 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 715 449 $0.00
3725F 1,215 1,130 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,371 1,241 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 15 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 53 $0.00
90791 Psychiatric diagnostic evaluation 19 13 $0.00
3078F 1,242 1,140 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00