Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1659506939 · BUNKER HILL, IL 62014 · Family Medicine Physician · NPI assigned 05/15/2009

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

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

$1.99M
Total Medicaid Paid
34,748
Total Claims
26,472
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/15/2009

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. EAST SAINT LOUIS IL $1.63M
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,484 $212K
2019 8,484 $317K
2020 4,205 $296K
2021 3,108 $251K
2022 3,330 $284K
2023 4,366 $300K
2024 7,771 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,340 11,198 $1.99M
90688 133 73 $202.64
87428 57 55 $63.00
83036 Hemoglobin; glycosylated (A1C) 270 180 $25.20
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,821 4,331 $0.00
3079F 385 361 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,495 3,356 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 890 850 $0.00
1036F 556 500 $0.00
96127 1,221 709 $0.00
3008F 1,071 970 $0.00
S5190 Wellness assessment, performed by non-physician 46 35 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 16 $0.00
3074F 699 633 $0.00
36415 Collection of venous blood by venipuncture 412 333 $0.00
90686 21 15 $0.00
3075F 103 100 $0.00
3080F 15 15 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 406 384 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,288 995 $0.00
3078F 543 504 $0.00
3725F 629 586 $0.00
3077F 105 100 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 13 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 80 51 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $0.00
90734 14 14 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 89 67 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 15 $0.00