Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1255880647 · BELLEVILLE, IL 62223 · Family Medicine Physician · NPI assigned 09/26/2016

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

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

$1.12M
Total Medicaid Paid
17,804
Total Claims
14,234
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date09/26/2016

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 1,356 $91K
2019 2,970 $110K
2020 2,593 $185K
2021 2,508 $198K
2022 2,256 $182K
2023 2,273 $183K
2024 3,848 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,046 6,912 $1.12M
90688 204 137 $339.19
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,378 3,337 $0.00
1036F 436 404 $0.00
3008F 612 569 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 610 581 $0.00
36415 Collection of venous blood by venipuncture 279 255 $0.00
3074F 422 389 $0.00
3079F 214 202 $0.00
S5190 Wellness assessment, performed by non-physician 18 18 $0.00
3075F 19 18 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 892 766 $0.00
3725F 324 311 $0.00
3078F 285 272 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $0.00
1160F 13 12 $0.00
3077F 12 12 $0.00