Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

NPI: 1609813500 · CENTREVILLE, IL 62207 · Obstetrics & Gynecology Physician · NPI assigned 05/31/2006

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

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

$17.82M
Total Medicaid Paid
369,824
Total Claims
290,410
Beneficiaries
88
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/31/2006

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. EAST ALTON IL $20.39M
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC GRANITE CITY IL $20.37M
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 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
2024 44,215 $2.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 128,594 93,678 $16.76M
D0999 Unspecified diagnostic procedure, by report 8,132 7,611 $989K
T1040 Medicaid certified community behavioral health clinic services, per diem 877 763 $66K
90670 2,694 2,184 $915.00
90688 504 330 $693.04
90716 478 397 $394.33
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,543 2,002 $312.62
81003 4,443 2,691 $142.12
90686 3,701 3,116 $107.95
90707 401 340 $70.92
92551 941 694 $30.40
96127 8,018 5,814 $22.00
81025 5,750 4,535 $15.48
99173 2,448 1,940 $14.90
90651 2,223 1,813 $6.40
81002 2,068 1,443 $5.20
3079F 1,696 1,563 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,757 20,790 $0.00
90723 620 460 $0.00
90792 Psychiatric diagnostic evaluation with medical services 2,054 1,708 $0.00
D0120 Periodic oral evaluation - established patient 4,798 4,682 $0.00
90677 274 256 $0.00
90656 132 119 $0.00
90698 1,580 1,304 $0.00
D0272 Bitewings - two radiographic images 1,157 1,131 $0.00
1036F 7,368 6,353 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,638 25,801 $0.00
D1206 Topical application of fluoride varnish 5,986 5,830 $0.00
D0140 Limited oral evaluation - problem focused 41 40 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,030 992 $0.00
3008F 10,192 8,882 $0.00
36415 Collection of venous blood by venipuncture 34 29 $0.00
3074F 7,619 6,595 $0.00
90620 195 171 $0.00
0500F 693 547 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 513 422 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,037 1,566 $0.00
3075F 691 662 $0.00
S5190 Wellness assessment, performed by non-physician 84 64 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 657 641 $0.00
99381 129 101 $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 103 100 $0.00
3080F 412 391 $0.00
1126F 443 371 $0.00
90744 500 480 $0.00
83036 Hemoglobin; glycosylated (A1C) 397 275 $0.00
90696 408 326 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 15 $0.00
1125F 47 43 $0.00
90697 16 13 $0.00
82962 34 33 $0.00
85018 30 30 $0.00
0503F 49 38 $0.00
90834 Psychotherapy, 45 minutes with patient 80 40 $0.00
Q3014 Telehealth originating site facility fee 12 12 $0.00
D1351 Sealant - per tooth 52 15 $0.00
90734 1,388 1,117 $0.00
99215 Prolong outpt/office vis 377 297 $0.00
D0274 Bitewings - four radiographic images 1,060 1,031 $0.00
0502F 5,398 3,018 $0.00
90832 Psychotherapy, 30 minutes with patient 4,695 3,530 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25,774 20,699 $0.00
3078F 6,954 6,036 $0.00
D1120 Prophylaxis - child 5,995 5,838 $0.00
3725F 2,971 2,746 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,513 2,866 $0.00
90715 1,453 1,153 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,082 2,597 $0.00
90791 Psychiatric diagnostic evaluation 337 280 $0.00
90633 1,809 1,534 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 577 567 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 333 266 $0.00
3077F 728 687 $0.00
90710 687 567 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,007 2,370 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,581 2,989 $0.00
1160F 7,027 5,911 $0.00
90681 677 518 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 283 279 $0.00
90648 722 554 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 236 184 $0.00
D2140 347 235 $0.00
90700 60 59 $0.00
90687 113 51 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $0.00
90713 14 13 $0.00
D1354 159 112 $0.00
D2150 Silver amalgam - two surfaces, primary or permanent 49 39 $0.00