Behavioral
Southern Illinois Healthcare Foundation, INC
Southern Illinois Healthcare Foundation, INC was paid $20.37M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
33aNPI1326392747assigned 11/07/2012
33bProvider typeCounselor
28Total paid$20.37M
24GClaims457,741
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Illinois
Rank by total paid#3 of 85
Median peer was paid$55K
This provider vs. median369×
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 | 55,500 | $2.33M | |
| 2019 | 110,789 | $2.83M | |
| 2020 | 72,103 | $3.43M | |
| 2021 | 60,883 | $3.03M | |
| 2022 | 45,851 | $2.90M | |
| 2023 | 47,549 | $2.95M | |
| 2024incomplete | 65,066 | $2.91M |
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 | 93% | 152,210 | 107,639 | $19.02M |
| D0999 | Unspecified diagnostic procedure, by report | 4.9% | 8,195 | 7,619 | $994K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.6% | 4,384 | 3,279 | $324K |
| 90651 | <1% | 2,970 | 2,379 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,253 | 4,773 | $9K |
| 90688 | <1% | 1,702 | 1,231 | $2K | |
| 90670 | <1% | 3,603 | 2,903 | $1K | |
| 81025 | <1% | 8,167 | 6,191 | $1K | |
| 90716 | <1% | 670 | 542 | $527.52 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,171 | 1,575 | $425.85 |
| 90710 | <1% | 1,043 | 847 | $417.62 | |
| 90734 | <1% | 1,614 | 1,349 | $393.65 |
92 more codes
| 90715 | <1% | 2,937 | $358.09 | |
| 90686 | <1% | 4,069 | $334.65 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 3,127 | $294.30 |
| 90707 | <1% | 664 | $290.18 | |
| 90633 | <1% | 2,441 | $198.58 | |
| 90698 | <1% | 2,987 | $188.98 | |
| 90620 | <1% | 298 | $165.75 | |
| 96127 | <1% | 19,523 | $157.60 | |
| 90696 | <1% | 789 | $116.14 | |
| 0502F | <1% | 7,871 | $88.20 | |
| 87428 | <1% | 207 | $63.00 | |
| 81003 | <1% | 14,783 | $52.55 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,605 | $37.80 |
| 90744 | <1% | 1,302 | $26.14 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,577 | $22.00 |
| 86580 | <1% | 42 | $20.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,129 | $11.00 |
| 90681 | <1% | 1,723 | $6.40 | |
| 81002 | <1% | 988 | $2.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14,427 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 14,360 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 4,986 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 4,795 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 793 | $0.00 |
| 3077F | 0% | 729 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 806 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 5,379 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 395 | $0.00 |
| 99173 | 0% | 4,167 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 808 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 227 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 4,593 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,304 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 211 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 627 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 2,133 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 243 | $0.00 |
| 99201 | 0% | 184 | $0.00 | |
| 3078F | 0% | 4,961 | $0.00 | |
| 90685 | 0% | 40 | $0.00 | |
| 1160F | 0% | 1,407 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 184 | $0.00 |
| 3725F | 0% | 3,555 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 45 | $0.00 |
| 90648 | 0% | 262 | $0.00 | |
| 99177 | 0% | 72 | $0.00 | |
| 11982 | 0% | 13 | $0.00 | |
| D2140 | 0% | 78 | $0.00 | |
| 96160 | 0% | 31 | $0.00 | |
| 90658 | 0% | 96 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 43 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 315 | $0.00 |
| 90380 | 0% | 13 | $0.00 | |
| 90687 | 0% | 15 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 20 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 12,671 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 195 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 61,654 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 5,388 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 236 | $0.00 |
| 1036F | 0% | 4,973 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 5,005 | $0.00 |
| 90723 | 0% | 171 | $0.00 | |
| 99381 | 0% | 545 | $0.00 | |
| 0500F | 0% | 963 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,379 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 28 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 3,875 | $0.00 |
| 0503F | 0% | 476 | $0.00 | |
| 3080F | 0% | 464 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,053 | $0.00 |
| 3074F | 0% | 5,573 | $0.00 | |
| 3075F | 0% | 880 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 974 | $0.00 |
| 99383 | 0% | 240 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 44 | $0.00 |
| 90677 | 0% | 560 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 177 | $0.00 |
| 3079F | 0% | 1,832 | $0.00 | |
| 3008F | 0% | 7,790 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 978 | $0.00 |
| 99384 | 0% | 115 | $0.00 | |
| 87807 | 0% | 38 | $0.00 | |
| 90697 | 0% | 477 | $0.00 | |
| 90656 | 0% | 386 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 112 | $0.00 |
| D9995 | 0% | 50 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 15 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 22 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 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 (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.