Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1699066985 · BELLEVILLE, IL 62223 · Pediatrics Physician · NPI assigned 04/21/2011

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

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

$2.53M
Total Medicaid Paid
58,695
Total Claims
47,219
Beneficiaries
43
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date04/21/2011

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 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 6,835 $363K
2019 15,928 $492K
2020 7,465 $385K
2021 13,844 $506K
2022 9,907 $446K
2023 4,716 $338K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 19,576 14,885 $2.53M
90651 933 725 $627.41
90670 1,695 1,390 $183.00
90734 618 504 $126.95
90633 1,039 838 $76.86
90672 84 53 $38.40
90647 156 139 $26.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,911 4,377 $0.00
1160F 1,723 1,526 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,154 1,742 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,679 1,378 $0.00
99173 1,055 998 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,496 2,045 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,664 2,120 $0.00
90710 413 302 $0.00
3078F 993 878 $0.00
90700 85 56 $0.00
90715 315 239 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 80 76 $0.00
3725F 520 464 $0.00
90685 111 88 $0.00
90707 61 51 $0.00
83655 15 14 $0.00
90723 146 142 $0.00
3074F 1,051 927 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,132 2,752 $0.00
3008F 1,883 1,673 $0.00
90686 1,260 1,139 $0.00
90620 134 99 $0.00
90696 366 268 $0.00
1036F 1,409 1,265 $0.00
90680 794 580 $0.00
96127 774 708 $0.00
90698 1,174 894 $0.00
92551 888 841 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 28 26 $0.00
90744 722 528 $0.00
90716 79 67 $0.00
90697 189 183 $0.00
99381 54 41 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 14 $0.00
S5190 Wellness assessment, performed by non-physician 167 135 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 51 49 $0.00