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 $402K by Medicaid between Jan 2018 and May 2018, across 16 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
33aNPI1356377568assigned 06/23/2006
28Total paid$402K
24GClaims7,912
24DCodes billed16
24AFirst – last monthJan 2018 – May 2018
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#87 of 911
Median peer was paid$41K
This provider vs. median9.9×

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$50K$100K$150K2018201920202021202220232024
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
20187,912$402K
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% 3,194 2,094 $402K
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% 523 450 $0.00
96127 0% 422 349 $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% 134 125 $0.00
S5190 Wellness assessment, performed by non-physician 0% 53 53 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 21 17 $0.00
0503F 0% 194 116 $0.00
0500F 0% 95 77 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 685 569 $0.00
90715 0% 14 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 95 87 $0.00
81003 0% 722 382 $0.00
4 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 216 $0.00
0502F 0% 929 $0.00
81002 0% 315 $0.00
81025 0% 300 $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

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