Behavioral
Southern Illinois Healthcare Foundation INC
Southern Illinois Healthcare Foundation INC was paid $7.91M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
O FALLON, IL 62269
O FALLON, IL 62269
33aNPI1225556996assigned 09/01/2017
33bProvider typeProfessional Counselor
28Total paid$7.91M
24GClaims138,807
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Illinois
Rank by total paid#2 of 314
Median peer was paid$39K
This provider vs. median204×
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 | 15,886 | $795K | |
| 2019 | 25,132 | $909K | |
| 2020 | 20,998 | $1.31M | |
| 2021 | 17,863 | $1.23M | |
| 2022 | 15,963 | $1.23M | |
| 2023 | 17,112 | $1.24M | |
| 2024incomplete | 25,853 | $1.19M |
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 | 99% | 62,963 | 43,176 | $7.84M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 899 | 600 | $66K |
| 90686 | <1% | 1,077 | 867 | $784.41 | |
| 90715 | <1% | 948 | 796 | $468.12 | |
| 90651 | <1% | 161 | 136 | $437.62 | |
| 90688 | <1% | 506 | 356 | $404.77 | |
| 90670 | <1% | 752 | 656 | $211.51 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 253 | 187 | $185.87 |
| 90734 | <1% | 65 | 56 | $126.95 | |
| 81025 | <1% | 1,082 | 801 | $36.15 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 32,096 | 23,241 | $31.01 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,560 | 1,449 | $25.20 |
41 more codes
| 81003 | <1% | 630 | $4.36 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 7,100 | $0.00 |
| 96127 | 0% | 587 | $0.00 | |
| 90677 | 0% | 206 | $0.00 | |
| 90680 | 0% | 341 | $0.00 | |
| 1036F | 0% | 2,437 | $0.00 | |
| 3075F | 0% | 567 | $0.00 | |
| 90656 | 0% | 97 | $0.00 | |
| 3008F | 0% | 3,616 | $0.00 | |
| 3079F | 0% | 1,201 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 297 | $0.00 |
| 90698 | 0% | 121 | $0.00 | |
| 3074F | 0% | 2,320 | $0.00 | |
| 0500F | 0% | 26 | $0.00 | |
| 87428 | 0% | 37 | $0.00 | |
| 3080F | 0% | 383 | $0.00 | |
| 90620 | 0% | 29 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 297 | $0.00 |
| 90744 | 0% | 15 | $0.00 | |
| 3078F | 0% | 1,820 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 990 | $0.00 |
| 0502F | 0% | 2,023 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,823 | $0.00 |
| 90648 | 0% | 39 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 517 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 889 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 84 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,147 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 503 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,559 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,912 | $0.00 |
| 90633 | 0% | 64 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 84 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 86 | $0.00 |
| 3725F | 0% | 810 | $0.00 | |
| 3077F | 0% | 519 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 182 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 21 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 28 | $0.00 |
| 1160F | 0% | 26 | $0.00 | |
| 81002 | 0% | 12 | $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 (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.