Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1427114891 · CAHOKIA, IL 62206 · Family Medicine Physician · NPI assigned 12/29/2006

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

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

$251K
Total Medicaid Paid
5,172
Total Claims
4,573
Beneficiaries
23
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT)
NPI Enumeration Date12/29/2006

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 5,172 $251K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,182 1,837 $251K
90633 64 61 $32.03
90686 132 113 $19.03
36416 100 95 $4.10
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 74 72 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 16 $0.00
81003 116 111 $0.00
90670 84 82 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 280 253 $0.00
99173 109 99 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 123 116 $0.00
81025 125 116 $0.00
90715 13 13 $0.00
99215 Prolong outpt/office vis 30 27 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 934 854 $0.00
90651 13 13 $0.00
S5190 Wellness assessment, performed by non-physician 73 70 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 182 172 $0.00
96127 204 190 $0.00
36415 Collection of venous blood by venipuncture 97 58 $0.00
90698 67 66 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 137 123 $0.00
90744 16 16 $0.00