Behavioral
Southern Illinois Health Care Foundation, INC.
Southern Illinois Health Care Foundation, INC. was paid $21.08M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
ALTON, IL 62002
ALTON, IL 62002
33aNPI1376589226assigned 06/21/2006
33bProvider typeProfessional Counselor
28Total paid$21.08M
24GClaims449,591
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Illinois
Rank by total paid#1 of 314
Median peer was paid$39K
This provider vs. median545×
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 | 44,124 | $2.10M | |
| 2019 | 113,658 | $3.48M | |
| 2020 | 62,145 | $3.34M | |
| 2021 | 51,058 | $2.94M | |
| 2022 | 49,936 | $2.93M | |
| 2023 | 52,088 | $2.98M | |
| 2024incomplete | 76,582 | $3.30M |
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 | 99% | 167,248 | 114,706 | $20.89M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 2,362 | 1,577 | $175K |
| 90651 | <1% | 2,112 | 1,757 | $3K | |
| 59430 | <1% | 204 | 169 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,224 | 2,096 | $3K |
| 0503F | <1% | 1,926 | 1,451 | $2K | |
| 90670 | <1% | 3,085 | 2,541 | $1K | |
| 90734 | <1% | 1,438 | 1,166 | $969.27 | |
| 90620 | <1% | 674 | 541 | $679.40 | |
| 90688 | <1% | 1,982 | 1,285 | $614.66 | |
| 90698 | <1% | 2,281 | 1,789 | $374.14 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 1,786 | 1,661 | $238.51 |
76 more codes
| 90686 | <1% | 2,849 | $234.20 | |
| 90715 | <1% | 2,506 | $232.25 | |
| 90710 | <1% | 1,249 | $208.81 | |
| 81025 | <1% | 4,832 | $176.36 | |
| 90633 | <1% | 1,922 | $141.78 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 59,083 | $139.94 |
| 86580 | <1% | 966 | $120.00 | |
| 90732 | <1% | 29 | $105.00 | |
| 90680 | <1% | 675 | $82.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $64.40 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,409 | $62.80 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,026 | $62.01 |
| 90696 | <1% | 441 | $57.10 | |
| 81003 | <1% | 11,083 | $32.70 | |
| 90744 | <1% | 1,356 | $26.14 | |
| 81002 | <1% | 5,138 | $7.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,127 | $6.30 |
| 82962 | <1% | 525 | $1.68 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 58 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,455 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,831 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,586 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 3,539 | $0.00 |
| 0502F | 0% | 11,838 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,725 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 20,440 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 8,508 | $0.00 |
| H1000 | Prenatal care, at-risk assessment | 0% | 394 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,850 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 814 | $0.00 |
| 3725F | 0% | 3,002 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,932 | $0.00 |
| 3078F | 0% | 5,507 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 2,328 | $0.00 |
| 90681 | 0% | 899 | $0.00 | |
| 90700 | 0% | 103 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 930 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 2,010 | $0.00 |
| 3077F | 0% | 1,014 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,591 | $0.00 |
| 1160F | 0% | 187 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 39 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 50 | $0.00 |
| 90707 | 0% | 126 | $0.00 | |
| 90672 | 0% | 31 | $0.00 | |
| 90648 | 0% | 43 | $0.00 | |
| 96127 | 0% | 13,881 | $0.00 | |
| 92551 | 0% | 621 | $0.00 | |
| 3080F | 0% | 855 | $0.00 | |
| 99383 | 0% | 67 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,979 | $0.00 |
| 90677 | 0% | 429 | $0.00 | |
| 87428 | 0% | 1,120 | $0.00 | |
| 3079F | 0% | 2,716 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 1,154 | $0.00 |
| 90656 | 0% | 348 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 4,732 | $0.00 |
| 3074F | 0% | 6,876 | $0.00 | |
| 99381 | 0% | 328 | $0.00 | |
| 0500F | 0% | 1,629 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 17,511 | $0.00 |
| 3075F | 0% | 1,188 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 109 | $0.00 |
| 90697 | 0% | 785 | $0.00 | |
| 3008F | 0% | 9,754 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 36 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 507 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 786 | $0.00 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 134 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,012 | $0.00 |
| 1036F | 0% | 6,177 | $0.00 | |
| 90716 | 0% | 131 | $0.00 | |
| 87807 | 0% | 109 | $0.00 | |
| 99384 | 0% | 33 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 182 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 20 | $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/CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.