Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1235430323 · ALTON, IL 62002 · Family Medicine Physician · NPI assigned 11/05/2010

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

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

$1.20M
Total Medicaid Paid
19,590
Total Claims
16,195
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date11/05/2010

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 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
2018 2,415 $156K
2019 3,287 $123K
2020 2,718 $193K
2021 2,185 $141K
2022 2,206 $184K
2023 2,375 $185K
2024 4,404 $217K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,239 7,331 $1.20M
90688 183 125 $17.84
83036 Hemoglobin; glycosylated (A1C) 30 29 $6.30
3008F 634 602 $0.00
3074F 365 356 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,751 4,763 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 147 141 $0.00
1036F 311 299 $0.00
96127 739 681 $0.00
3080F 62 58 $0.00
3079F 224 222 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 311 203 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 99 78 $0.00
90656 13 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 663 535 $0.00
3077F 108 101 $0.00
3725F 247 241 $0.00
3078F 269 261 $0.00
90715 75 38 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 88 86 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 32 $0.00