Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1063691897 · SWANSEA, IL 62226 · Professional Counselor · NPI assigned 10/29/2007

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

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

$714K
Total Medicaid Paid
8,880
Total Claims
7,629
Beneficiaries
27
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT/CEO)
NPI Enumeration Date10/29/2007

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
2022 219 $21K
2023 3,159 $273K
2024 5,502 $421K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,090 3,279 $714K
1036F 180 167 $0.00
90686 78 75 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 568 519 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,722 1,498 $0.00
3008F 410 386 $0.00
3074F 281 266 $0.00
90677 68 65 $0.00
90651 27 26 $0.00
90656 97 82 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 26 26 $0.00
87428 14 13 $0.00
90697 44 44 $0.00
99383 12 12 $0.00
S5190 Wellness assessment, performed by non-physician 19 19 $0.00
3079F 16 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 221 207 $0.00
3725F 58 56 $0.00
3078F 269 256 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 216 191 $0.00
90734 14 14 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 262 234 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 54 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 77 74 $0.00
90633 28 28 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $0.00