Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1376588848 · SALEM, IL 62881 · Dentist · NPI assigned 06/18/2006

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

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

$7.88M
Total Medicaid Paid
135,726
Total Claims
107,341
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF OPERATING OFFICER)
NPI Enumeration Date06/18/2006

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. 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
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,820 $889K
2019 25,189 $883K
2020 18,229 $1.19M
2021 15,549 $1.13M
2022 17,794 $1.29M
2023 16,769 $1.25M
2024 27,376 $1.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 62,606 47,121 $7.88M
90688 387 260 $584.40
90670 384 344 $577.51
90734 301 244 $394.85
90715 265 210 $197.55
83036 Hemoglobin; glycosylated (A1C) 970 859 $63.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 15 $58.86
81003 285 257 $19.62
90686 182 136 $6.40
81025 46 28 $2.58
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,557 6,020 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,068 917 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,455 1,205 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 968 766 $0.00
3078F 2,700 2,505 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 282 249 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 484 450 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 374 350 $0.00
80305 402 377 $0.00
99307 40 37 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,120 937 $0.00
3725F 1,075 1,012 $0.00
90648 13 12 $0.00
90633 193 182 $0.00
96160 65 64 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 18 $0.00
3077F 288 270 $0.00
90710 112 83 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 29 28 $0.00
90791 Psychiatric diagnostic evaluation 53 53 $0.00
90658 20 20 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,780 4,776 $0.00
3080F 196 183 $0.00
90677 127 126 $0.00
99384 15 15 $0.00
3079F 839 787 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 152 142 $0.00
87428 110 108 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,980 23,098 $0.00
36415 Collection of venous blood by venipuncture 695 649 $0.00
3074F 3,010 2,780 $0.00
90697 24 24 $0.00
90792 Psychiatric diagnostic evaluation with medical services 634 511 $0.00
S5190 Wellness assessment, performed by non-physician 397 345 $0.00
96127 2,910 2,368 $0.00
3075F 456 429 $0.00
90651 228 181 $0.00
1036F 2,116 1,923 $0.00
3008F 4,032 3,639 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 83 $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 65 61 $0.00
90696 95 71 $0.00
90698 13 13 $0.00