Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1033573183 · RED BUD, IL 62278 · Family Medicine Physician · NPI assigned 04/05/2016

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

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

$1.46M
Total Medicaid Paid
26,686
Total Claims
20,826
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT/CEO)
NPI Enumeration Date04/05/2016

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 MATTOON IL $2.40M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,589 $246K
2019 5,054 $222K
2020 4,048 $257K
2021 4,731 $214K
2022 3,026 $190K
2023 2,518 $168K
2024 3,720 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,520 8,567 $1.46M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,253 5,246 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 492 453 $0.00
3008F 1,387 1,236 $0.00
96127 743 566 $0.00
1036F 785 691 $0.00
3074F 867 774 $0.00
1125F 143 136 $0.00
1126F 237 222 $0.00
3079F 266 236 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 231 213 $0.00
S5190 Wellness assessment, performed by non-physician 12 12 $0.00
3075F 27 25 $0.00
99406 14 14 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 193 186 $0.00
3725F 422 395 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 106 88 $0.00
1160F 803 712 $0.00
3078F 672 605 $0.00
81003 98 78 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 45 43 $0.00
81002 87 82 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 123 104 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 43 27 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61 61 $0.00
90734 14 13 $0.00
99173 42 41 $0.00