Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southern Illinois Healthcare Foundation, INC.

Southern Illinois Healthcare Foundation, INC. was paid $144K by Medicaid between Jan 2018 and May 2018, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
ALTON, IL 62002
33aNPI1346402062assigned 06/25/2008
28Total paid$144K
24GClaims3,171
24DCodes billed11
24AFirst – last monthJan 2018 – May 2018
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#749 of 2,947
Median peer was paid$43K
This provider vs. median3.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,171$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 1,589 1,204 $144K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 724 672 $0.00
82962 0% 73 72 $0.00
96127 0% 368 317 $0.00
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 0% 67 60 $0.00
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 0% 13 13 $0.00
90688 0% 15 15 $0.00
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 0% 198 128 $0.00
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 29 29 $0.00
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 0% 79 76 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 16 13 $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 (PRESIDENT)
Same official

Other billing entities under MCCULLEY, LARRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.