Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1487719860 · EAST ALTON, IL 62024 · Dentist · NPI assigned 12/26/2006

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

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

$20.39M
Total Medicaid Paid
459,679
Total Claims
376,890
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF OPERATING OFFICER)
NPI Enumeration Date12/26/2006

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 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
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,342 $2.23M
2019 93,197 $2.81M
2020 52,443 $2.68M
2021 68,759 $3.18M
2022 42,083 $2.42M
2023 55,102 $2.94M
2024 94,753 $4.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 114,604 79,393 $14.95M
D0999 Unspecified diagnostic procedure, by report 41,984 38,786 $4.86M
D1120 Prophylaxis - child 25,358 24,987 $269K
D0120 Periodic oral evaluation - established patient 24,815 24,379 $96K
D0150 Comprehensive oral evaluation - new or established patient 4,283 4,217 $61K
D0140 Limited oral evaluation - problem focused 1,535 1,483 $26K
D7140 Extraction, erupted tooth or exposed root 2,598 2,171 $23K
T1040 Medicaid certified community behavioral health clinic services, per diem 284 164 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,953 2,443 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,097 3,308 $17K
D0274 Bitewings - four radiographic images 2,414 2,389 $11K
D2140 738 606 $5K
D2940 191 170 $5K
90651 1,926 1,544 $4K
90734 2,046 1,640 $3K
D2330 711 582 $2K
90670 3,259 2,778 $2K
D1354 942 757 $1K
90620 727 584 $1K
90688 1,017 755 $1K
90710 948 744 $1K
D0272 Bitewings - two radiographic images 11,221 11,030 $711.36
90715 1,623 1,276 $647.06
D1206 Topical application of fluoride varnish 26,542 26,093 $606.43
D0220 Intraoral - periapical first radiographic image 2,908 2,824 $592.80
90680 2,262 1,984 $497.34
90723 2,639 2,305 $459.55
D2331 55 51 $396.57
90716 654 522 $372.46
90686 3,522 2,834 $360.63
90633 2,385 2,008 $350.64
90707 676 541 $290.08
90696 835 675 $255.85
90647 2,823 2,396 $242.47
90700 665 526 $124.80
96127 8,721 6,892 $73.20
81025 909 607 $10.32
S5190 Wellness assessment, performed by non-physician 569 544 $9.81
81002 2,124 1,135 $2.60
90677 432 402 $0.00
3080F 171 160 $0.00
99381 379 327 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,661 4,508 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,491 11,124 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54,839 41,916 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,452 1,374 $0.00
87428 726 709 $0.00
90697 126 112 $0.00
3079F 879 823 $0.00
3074F 5,088 4,578 $0.00
D0230 Intraoral - periapical each additional radiographic image 562 501 $0.00
3008F 6,405 5,705 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 112 110 $0.00
D1351 Sealant - per tooth 3,933 1,877 $0.00
90834 Psychotherapy, 45 minutes with patient 283 193 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 215 210 $0.00
83036 Hemoglobin; glycosylated (A1C) 231 228 $0.00
3075F 365 347 $0.00
1036F 4,056 3,627 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 42 40 $0.00
99383 147 100 $0.00
90792 Psychiatric diagnostic evaluation with medical services 28 28 $0.00
90656 285 254 $0.00
87807 70 68 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 52 52 $0.00
99385 31 30 $0.00
Q3014 Telehealth originating site facility fee 25 22 $0.00
D0603 19 19 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,285 3,624 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,098 943 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,878 3,949 $0.00
3725F 1,674 1,586 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,743 2,493 $0.00
90832 Psychotherapy, 30 minutes with patient 7,584 3,092 $0.00
0502F 1,393 596 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 270 243 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,110 938 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,102 4,182 $0.00
3078F 4,595 4,149 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,571 3,723 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,022 3,242 $0.00
D0330 Panoramic radiographic image 411 411 $0.00
90791 Psychiatric diagnostic evaluation 595 418 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 56 43 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,790 3,123 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 687 652 $0.00
81003 458 395 $0.00
1160F 54 52 $0.00
90658 79 76 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,166 1,091 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 124 64 $0.00
3077F 231 211 $0.00
90837 Psychotherapy, 53 minutes with patient 23 15 $0.00