Physician
Southern Illinois Healthcare Foundation INC
Southern Illinois Healthcare Foundation INC was paid $17.82M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
CENTREVILLE, IL 62207
CENTREVILLE, IL 62207
33aNPI1609813500assigned 05/31/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$17.82M
24GClaims369,824
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#1 of 911
Median peer was paid$41K
This provider vs. median439×
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 | 43,884 | $2.06M | |
| 2019 | 84,959 | $2.61M | |
| 2020 | 53,965 | $2.96M | |
| 2021 | 58,672 | $2.59M | |
| 2022 | 44,166 | $2.37M | |
| 2023 | 39,963 | $2.57M | |
| 2024incomplete | 44,215 | $2.65M |
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 | 94% | 128,594 | 93,678 | $16.76M |
| D0999 | Unspecified diagnostic procedure, by report | 5.6% | 8,132 | 7,611 | $989K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 877 | 763 | $66K |
| 90670 | <1% | 2,694 | 2,184 | $915.00 | |
| 90688 | <1% | 504 | 330 | $693.04 | |
| 90716 | <1% | 478 | 397 | $394.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,543 | 2,002 | $312.62 |
| 81003 | <1% | 4,443 | 2,691 | $142.12 | |
| 90686 | <1% | 3,701 | 3,116 | $107.95 | |
| 90707 | <1% | 401 | 340 | $70.92 | |
| 92551 | <1% | 941 | 694 | $30.40 | |
| 96127 | <1% | 8,018 | 5,814 | $22.00 |
76 more codes
| 81025 | <1% | 5,750 | $15.48 | |
| 99173 | <1% | 2,448 | $14.90 | |
| 90651 | <1% | 2,223 | $6.40 | |
| 81002 | <1% | 2,068 | $5.20 | |
| 3079F | 0% | 1,696 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 26,757 | $0.00 |
| 90723 | 0% | 620 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 2,054 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 4,798 | $0.00 |
| 90677 | 0% | 274 | $0.00 | |
| 90656 | 0% | 132 | $0.00 | |
| 90698 | 0% | 1,580 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,157 | $0.00 |
| 1036F | 0% | 7,368 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 33,638 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 5,986 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 41 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,030 | $0.00 |
| 3008F | 0% | 10,192 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 34 | $0.00 |
| 3074F | 0% | 7,619 | $0.00 | |
| 90620 | 0% | 195 | $0.00 | |
| 0500F | 0% | 693 | $0.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 0% | 513 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 2,037 | $0.00 |
| 3075F | 0% | 691 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 84 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 657 | $0.00 |
| 99381 | 0% | 129 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 103 | $0.00 |
| 3080F | 0% | 412 | $0.00 | |
| 1126F | 0% | 443 | $0.00 | |
| 90744 | 0% | 500 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 397 | $0.00 |
| 90696 | 0% | 408 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 20 | $0.00 |
| 1125F | 0% | 47 | $0.00 | |
| 90697 | 0% | 16 | $0.00 | |
| 82962 | 0% | 34 | $0.00 | |
| 85018 | 0% | 30 | $0.00 | |
| 0503F | 0% | 49 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 80 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 12 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 52 | $0.00 |
| 90734 | 0% | 1,388 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 377 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,060 | $0.00 |
| 0502F | 0% | 5,398 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 4,695 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 25,774 | $0.00 |
| 3078F | 0% | 6,954 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 5,995 | $0.00 |
| 3725F | 0% | 2,971 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,513 | $0.00 |
| 90715 | 0% | 1,453 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,082 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 337 | $0.00 |
| 90633 | 0% | 1,809 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 577 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 333 | $0.00 |
| 3077F | 0% | 728 | $0.00 | |
| 90710 | 0% | 687 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,007 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,581 | $0.00 |
| 1160F | 0% | 7,027 | $0.00 | |
| 90681 | 0% | 677 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 283 | $0.00 |
| 90648 | 0% | 722 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 236 | $0.00 |
| D2140 | 0% | 347 | $0.00 | |
| 90700 | 0% | 60 | $0.00 | |
| 90687 | 0% | 113 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 25 | $0.00 |
| 90713 | 0% | 14 | $0.00 | |
| D1354 | 0% | 159 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 49 | $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 (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.