Physician
Southern Illinois Healthcare Foundation, INC
Southern Illinois Healthcare Foundation, INC was paid $10.15M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
BELLEVILLE, IL 62223
BELLEVILLE, IL 62223
33aNPI1275561797assigned 06/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$10.15M
24GClaims228,764
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#6 of 2,947
Median peer was paid$43K
This provider vs. median238×
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 | 32,453 | $1.48M | |
| 2019 | 56,895 | $1.77M | |
| 2020 | 32,412 | $1.78M | |
| 2021 | 44,224 | $1.59M | |
| 2022 | 26,456 | $1.37M | |
| 2023 | 12,238 | $964K | |
| 2024incomplete | 24,086 | $1.20M |
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 | 97% | 83,589 | 59,160 | $9.84M |
| D0999 | Unspecified diagnostic procedure, by report | 2.6% | 2,412 | 2,180 | $267K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 534 | 413 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,304 | 1,827 | $3K |
| 90688 | <1% | 940 | 687 | $578.02 | |
| 90686 | <1% | 886 | 715 | $572.55 | |
| 90715 | <1% | 1,207 | 886 | $256.98 | |
| 82962 | <1% | 3,940 | 3,028 | $139.94 | |
| 0502F | <1% | 7,603 | 4,010 | $132.30 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,432 | 1,378 | $129.15 |
| D1206 | Topical application of fluoride varnish | <1% | 1,418 | 1,364 | $81.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 479 | 455 | $78.24 |
55 more codes
| 96127 | <1% | 6,578 | $66.00 | |
| 81025 | <1% | 4,146 | $38.74 | |
| D0272 | Bitewings - two radiographic images | <1% | 846 | $22.18 |
| 81002 | <1% | 2,448 | $18.20 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,384 | $9.60 |
| 81003 | <1% | 3,998 | $4.36 | |
| 3078F | 0% | 3,709 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 926 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15,254 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 4,676 | $0.00 |
| 3725F | 0% | 2,853 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 33 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 261 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,004 | $0.00 |
| 3077F | 0% | 1,256 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 148 | $0.00 |
| 1160F | 0% | 5,439 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 265 | $0.00 |
| 90687 | 0% | 118 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 65 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 123 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 352 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 40 | $0.00 |
| 82948 | 0% | 49 | $0.00 | |
| 99201 | 0% | 29 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 30 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 24 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 0500F | 0% | 870 | $0.00 | |
| 0503F | 0% | 711 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 689 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 5,319 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 991 | $0.00 |
| 3008F | 0% | 7,726 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 31,414 | $0.00 |
| 3080F | 0% | 1,024 | $0.00 | |
| 3075F | 0% | 1,365 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 195 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 93 | $0.00 |
| 3074F | 0% | 4,868 | $0.00 | |
| 3079F | 0% | 2,752 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 469 | $0.00 |
| 99385 | 0% | 211 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 225 | $0.00 |
| 1036F | 0% | 5,355 | $0.00 | |
| 1126F | 0% | 115 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 45 | $0.00 |
| 99386 | 0% | 31 | $0.00 | |
| 90651 | 0% | 40 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 17 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 46 | $0.00 |
| 1125F | 0% | 184 | $0.00 | |
| 90656 | 0% | 102 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 79 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 16 | $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 (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.