Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1487070835 · CHARLESTON, IL 61920 · Mental Health Counselor · NPI assigned 03/10/2014

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

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

$2.20M
Total Medicaid Paid
41,898
Total Claims
34,775
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date03/10/2014

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. 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 5,658 $257K
2019 6,036 $235K
2020 4,770 $335K
2021 4,379 $318K
2022 4,886 $322K
2023 5,672 $343K
2024 10,497 $390K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,158 11,605 $2.00M
D0999 Unspecified diagnostic procedure, by report 1,571 1,255 $197K
90688 111 80 $285.44
90686 65 31 $76.12
83036 Hemoglobin; glycosylated (A1C) 382 359 $12.60
81003 74 39 $8.72
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,151 1,098 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,253 7,233 $0.00
96127 1,366 1,305 $0.00
36415 Collection of venous blood by venipuncture 1,248 1,157 $0.00
D1206 Topical application of fluoride varnish 708 703 $0.00
D0150 Comprehensive oral evaluation - new or established patient 477 476 $0.00
D0272 Bitewings - two radiographic images 228 228 $0.00
D0120 Periodic oral evaluation - established patient 256 252 $0.00
3074F 831 776 $0.00
3079F 264 255 $0.00
D1351 Sealant - per tooth 135 71 $0.00
1036F 510 469 $0.00
S5190 Wellness assessment, performed by non-physician 107 88 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 197 137 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 350 306 $0.00
3008F 1,060 983 $0.00
1126F 618 586 $0.00
D0140 Limited oral evaluation - problem focused 52 45 $0.00
1125F 400 371 $0.00
D0230 Intraoral - periapical each additional radiographic image 55 48 $0.00
3075F 54 53 $0.00
D7140 Extraction, erupted tooth or exposed root 14 12 $0.00
3080F 14 13 $0.00
3725F 974 905 $0.00
D0220 Intraoral - periapical first radiographic image 257 245 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,452 1,216 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 491 471 $0.00
3078F 715 673 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 155 119 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 30 $0.00
80305 72 69 $0.00
D0274 Bitewings - four radiographic images 169 169 $0.00
D1120 Prophylaxis - child 749 745 $0.00
90832 Psychotherapy, 30 minutes with patient 15 14 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 55 38 $0.00
3077F 29 28 $0.00
90837 Psychotherapy, 53 minutes with patient 25 19 $0.00