Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

NPI: 1356377568 · ALTON, IL 62002 · Obstetrics & Gynecology Physician · NPI assigned 06/23/2006

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

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

$402K
Total Medicaid Paid
7,912
Total Claims
5,389
Beneficiaries
16
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT)
NPI Enumeration Date06/23/2006

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. VANDALIA IL $2.58M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,912 $402K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,194 2,094 $402K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 523 450 $0.00
96127 422 349 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 134 125 $0.00
S5190 Wellness assessment, performed by non-physician 53 53 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21 17 $0.00
0503F 194 116 $0.00
0500F 95 77 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 685 569 $0.00
90715 14 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 95 87 $0.00
81003 722 382 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 216 197 $0.00
0502F 929 430 $0.00
81002 315 184 $0.00
81025 300 247 $0.00