Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
ALTON, IL 62002
Next to other Family Medicine Physician providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,415 | $156K | |
| 2019 | 3,287 | $123K | |
| 2020 | 2,718 | $193K | |
| 2021 | 2,185 | $141K | |
| 2022 | 2,206 | $184K | |
| 2023 | 2,375 | $185K | |
| 2024incomplete | 4,404 | $217K |
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 | 100% | 9,239 | 7,331 | $1.20M |
| 90688 | <1% | 183 | 125 | $17.84 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 30 | 29 | $6.30 |
| 3008F | 0% | 634 | 602 | $0.00 | |
| 3074F | 0% | 365 | 356 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 5,751 | 4,763 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 147 | 141 | $0.00 |
| 1036F | 0% | 311 | 299 | $0.00 | |
| 96127 | 0% | 739 | 681 | $0.00 | |
| 3080F | 0% | 62 | 58 | $0.00 | |
| 3079F | 0% | 224 | 222 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 311 | 203 | $0.00 |
9 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 99 | $0.00 |
| 90656 | 0% | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 663 | $0.00 |
| 3077F | 0% | 108 | $0.00 | |
| 3725F | 0% | 247 | $0.00 | |
| 3078F | 0% | 269 | $0.00 | |
| 90715 | 0% | 75 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 88 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 32 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.