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 $251K by Medicaid between Jan 2018 and Jun 2018, across 23 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.
CAHOKIA, IL 62206
33aNPI1427114891assigned 12/29/2006
28Total paid$251K
24GClaims5,172
24DCodes billed23
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#452 of 2,947
Median peer was paid$43K
This provider vs. median5.9×

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$20K$40K$60K2018201920202021202220232024
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
20185,172$251K
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% 2,182 1,837 $251K
90633 <1% 64 61 $32.03
90686 <1% 132 113 $19.03
36416 <1% 100 95 $4.10
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 74 72 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 17 16 $0.00
81003 0% 116 111 $0.00
90670 0% 84 82 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 280 253 $0.00
99173 0% 109 99 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 123 116 $0.00
81025 0% 125 116 $0.00
11 more codes
90715 0% 13 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 30 $0.00
99213 Doctor's office visit, returning patient (routine) 0% 934 $0.00
90651 0% 13 $0.00
S5190 Wellness assessment, performed by non-physician 0% 73 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 182 $0.00
96127 0% 204 $0.00
36415 Collection of venous blood by venipuncture 0% 97 $0.00
90698 0% 67 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 137 $0.00
90744 0% 16 $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.