Behavioral
Southern Illinois Healthcare Foundation INC
Southern Illinois Healthcare Foundation INC was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1154651776assigned 01/04/2010
33bProvider typeProfessional Counselor
28Total paid$4.34M
24GClaims95,719
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Illinois
Rank by total paid#7 of 314
Median peer was paid$39K
This provider vs. median112×
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.
Entity ProliferationAuthorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,576 | $603K | |
| 2019 | 21,726 | $697K | |
| 2020 | 9,143 | $445K | |
| 2021 | 10,124 | $594K | |
| 2022 | 11,878 | $692K | |
| 2023 | 11,317 | $598K | |
| 2024incomplete | 16,955 | $713K |
Box 24 · Service lines
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 | 64% | 22,086 | 16,350 | $2.79M |
| D0999 | Unspecified diagnostic procedure, by report | 34% | 12,278 | 11,214 | $1.49M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.4% | 787 | 437 | $61K |
| 90686 | <1% | 78 | 34 | $57.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 304 | 215 | $12.60 |
| 81003 | <1% | 78 | 61 | $2.18 | |
| 3725F | 0% | 570 | 558 | $0.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 8,064 | 7,704 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 1,067 | 838 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 5,305 | 3,457 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 368 | 307 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,878 | 1,795 | $0.00 |
38 more codes
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,007 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 147 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 200 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 410 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 121 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 450 | $0.00 |
| 3078F | 0% | 794 | $0.00 | |
| 90715 | 0% | 44 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 77 | $0.00 |
| D1354 | 0% | 93 | $0.00 | |
| D2140 | 0% | 14 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 2,096 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 806 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 7,776 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,396 | $0.00 |
| 96127 | 0% | 2,833 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 104 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,296 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 9,671 | $0.00 |
| 3079F | 0% | 413 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 543 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 100 | $0.00 |
| 3008F | 0% | 1,367 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 335 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 6,593 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,368 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 638 | $0.00 |
| 1036F | 0% | 732 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 117 | $0.00 |
| 3074F | 0% | 1,050 | $0.00 | |
| 3075F | 0% | 122 | $0.00 | |
| 82044 | 0% | 41 | $0.00 | |
| 3080F | 0% | 26 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 14 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialMCCULLEY, LARRY (PRESIDENT/CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.