Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1326288143 · VANDALIA, IL 62471 · Physician Assistant · NPI assigned 03/06/2009

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

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

$2.58M
Total Medicaid Paid
43,737
Total Claims
32,135
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date03/06/2009

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. 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
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,866 $318K
2019 12,583 $474K
2020 7,631 $527K
2021 4,880 $396K
2022 3,996 $327K
2023 3,928 $290K
2024 5,853 $246K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 21,002 14,708 $2.58M
90651 32 32 $225.00
90688 50 34 $107.04
90686 104 55 $19.03
83036 Hemoglobin; glycosylated (A1C) 96 52 $6.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,182 3,038 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 587 412 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 531 357 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 302 223 $0.00
3725F 609 548 $0.00
90715 12 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 228 166 $0.00
3078F 519 468 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 26 25 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 70 69 $0.00
81003 22 13 $0.00
81002 12 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 14 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 675 615 $0.00
3074F 585 522 $0.00
36415 Collection of venous blood by venipuncture 220 197 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,389 6,797 $0.00
96127 1,711 1,285 $0.00
87428 13 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,098 996 $0.00
1036F 433 390 $0.00
3079F 193 176 $0.00
3075F 50 45 $0.00
3008F 872 770 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 13 12 $0.00
S5190 Wellness assessment, performed by non-physician 85 79 $0.00