Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1679844468 · OLNEY, IL 62450 · Clinical Social Worker · NPI assigned 01/25/2012

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

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

$6.27M
Total Medicaid Paid
112,031
Total Claims
83,332
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date01/25/2012

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 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 12,704 $659K
2019 20,497 $765K
2020 13,073 $837K
2021 12,115 $872K
2022 12,585 $949K
2023 15,973 $1.11M
2024 25,084 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,372 33,435 $6.27M
96127 4,572 3,906 $241.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 71 64 $215.30
90688 426 338 $121.20
0503F 776 616 $75.00
90686 33 25 $38.06
81003 5,087 2,971 $4.36
81025 13 13 $2.58
90715 215 156 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,147 7,293 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 105 92 $0.00
3725F 2,099 1,885 $0.00
0502F 6,640 3,638 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,368 1,270 $0.00
3077F 294 285 $0.00
90832 Psychotherapy, 30 minutes with patient 1,168 724 $0.00
99215 Prolong outpt/office vis 325 230 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 186 168 $0.00
90658 32 30 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 209 185 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 138 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 25 $0.00
3078F 2,067 1,766 $0.00
81002 13 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 63 60 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 156 153 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 219 210 $0.00
90791 Psychiatric diagnostic evaluation 89 76 $0.00
80305 12 12 $0.00
3008F 3,110 2,580 $0.00
99383 13 13 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 33 32 $0.00
Q3014 Telehealth originating site facility fee 1,487 668 $0.00
36415 Collection of venous blood by venipuncture 23 19 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,045 3,402 $0.00
0500F 300 270 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,521 9,230 $0.00
1036F 1,789 1,431 $0.00
3080F 182 171 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 224 204 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,876 1,650 $0.00
S5190 Wellness assessment, performed by non-physician 262 212 $0.00
3079F 1,055 939 $0.00
3074F 2,516 2,123 $0.00
3075F 539 494 $0.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $0.00
99205 Prolong outpt/office vis 14 13 $0.00
90792 Psychiatric diagnostic evaluation with medical services 33 33 $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 19 19 $0.00
87428 13 13 $0.00
90834 Psychotherapy, 45 minutes with patient 22 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $0.00