Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

NPI: 1154651776 · EFFINGHAM, IL 62401 · Professional Counselor · NPI assigned 01/04/2010

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

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

$4.34M
Total Medicaid Paid
95,719
Total Claims
81,185
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT/CEO)
NPI Enumeration Date01/04/2010

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. 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
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,955 $713K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 22,086 16,350 $2.79M
D0999 Unspecified diagnostic procedure, by report 12,278 11,214 $1.49M
T1040 Medicaid certified community behavioral health clinic services, per diem 787 437 $61K
90686 78 34 $57.09
83036 Hemoglobin; glycosylated (A1C) 304 215 $12.60
81003 78 61 $2.18
3725F 570 558 $0.00
D1120 Prophylaxis - child 8,064 7,704 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,067 838 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,305 3,457 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 368 307 $0.00
D0274 Bitewings - four radiographic images 1,878 1,795 $0.00
D0220 Intraoral - periapical first radiographic image 1,007 957 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 147 99 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 200 186 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 410 393 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 121 85 $0.00
90832 Psychotherapy, 30 minutes with patient 450 226 $0.00
3078F 794 756 $0.00
90715 44 38 $0.00
90837 Psychotherapy, 53 minutes with patient 77 77 $0.00
D1354 93 72 $0.00
D2140 14 12 $0.00
90633 12 12 $0.00
3077F 16 16 $0.00
D0272 Bitewings - two radiographic images 2,096 1,982 $0.00
D1351 Sealant - per tooth 806 378 $0.00
D1206 Topical application of fluoride varnish 7,776 7,441 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,396 1,356 $0.00
96127 2,833 2,463 $0.00
90834 Psychotherapy, 45 minutes with patient 104 88 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,296 1,040 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,671 7,989 $0.00
3079F 413 393 $0.00
90651 13 13 $0.00
36415 Collection of venous blood by venipuncture 543 498 $0.00
D7140 Extraction, erupted tooth or exposed root 100 79 $0.00
3008F 1,367 1,267 $0.00
D0230 Intraoral - periapical each additional radiographic image 335 290 $0.00
D0120 Periodic oral evaluation - established patient 6,593 6,263 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,368 1,158 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 638 620 $0.00
1036F 732 680 $0.00
D0140 Limited oral evaluation - problem focused 117 109 $0.00
3074F 1,050 988 $0.00
3075F 122 118 $0.00
82044 41 15 $0.00
3080F 26 25 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 14 13 $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 21 20 $0.00