Behavioral
Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
CHARLESTON, IL 61920
CHARLESTON, IL 61920
33aNPI1487070835assigned 03/10/2014
33bProvider typeMental Health Counselor
28Total paid$2.20M
24GClaims41,898
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Illinois
Rank by total paid#12 of 217
Median peer was paid$43K
This provider vs. median51×
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 | 5,658 | $257K | |
| 2019 | 6,036 | $235K | |
| 2020 | 4,770 | $335K | |
| 2021 | 4,379 | $318K | |
| 2022 | 4,886 | $322K | |
| 2023 | 5,672 | $343K | |
| 2024incomplete | 10,497 | $390K |
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 | 91% | 15,158 | 11,605 | $2.00M |
| D0999 | Unspecified diagnostic procedure, by report | 9.0% | 1,571 | 1,255 | $197K |
| 90688 | <1% | 111 | 80 | $285.44 | |
| 90686 | <1% | 65 | 31 | $76.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 382 | 359 | $12.60 |
| 81003 | <1% | 74 | 39 | $8.72 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,151 | 1,098 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 9,253 | 7,233 | $0.00 |
| 96127 | 0% | 1,366 | 1,305 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,248 | 1,157 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 708 | 703 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 477 | 476 | $0.00 |
31 more codes
| D0272 | Bitewings - two radiographic images | 0% | 228 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 256 | $0.00 |
| 3074F | 0% | 831 | $0.00 | |
| 3079F | 0% | 264 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 135 | $0.00 |
| 1036F | 0% | 510 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 107 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 197 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 350 | $0.00 |
| 3008F | 0% | 1,060 | $0.00 | |
| 1126F | 0% | 618 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 52 | $0.00 |
| 1125F | 0% | 400 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 55 | $0.00 |
| 3075F | 0% | 54 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 14 | $0.00 |
| 3080F | 0% | 14 | $0.00 | |
| 3725F | 0% | 974 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 257 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,452 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 491 | $0.00 |
| 3078F | 0% | 715 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 155 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 31 | $0.00 |
| 80305 | 0% | 72 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 169 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 749 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 15 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 55 | $0.00 |
| 3077F | 0% | 29 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 25 | $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 (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.