Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1487882775 · BELLEVILLE, IL 62220 · Physician Assistant · NPI assigned 06/25/2009

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

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

$811K
Total Medicaid Paid
14,910
Total Claims
12,612
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/25/2009

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 2,145 $164K
2019 2,976 $124K
2020 103 $9K
2023 3,812 $237K
2024 5,874 $277K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,361 5,165 $811K
90734 68 48 $260.30
90651 48 36 $204.87
86580 43 37 $12.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 26 25 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,041 1,732 $0.00
1036F 535 473 $0.00
3074F 903 814 $0.00
3075F 62 61 $0.00
3008F 1,014 919 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 173 149 $0.00
90686 54 32 $0.00
3079F 185 168 $0.00
99384 12 12 $0.00
3080F 14 14 $0.00
99383 36 25 $0.00
3078F 776 718 $0.00
99201 69 68 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 91 79 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,441 1,221 $0.00
3725F 114 113 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 122 95 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 286 218 $0.00
90715 69 54 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 157 134 $0.00
3077F 14 14 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 115 110 $0.00
1160F 26 25 $0.00
69210 26 24 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 17 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00