Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $2.53M by Medicaid between Jan 2018 and Dec 2023, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
BELLEVILLE, IL 62223
Next to other Pediatrics Physician providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | 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 |
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 | 100% | 19,576 | 14,885 | $2.53M |
| 90651 | <1% | 933 | 725 | $627.41 | |
| 90670 | <1% | 1,695 | 1,390 | $183.00 | |
| 90734 | <1% | 618 | 504 | $126.95 | |
| 90633 | <1% | 1,039 | 838 | $76.86 | |
| 90672 | <1% | 84 | 53 | $38.40 | |
| 90647 | <1% | 156 | 139 | $26.23 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 5,911 | 4,377 | $0.00 |
| 1160F | 0% | 1,723 | 1,526 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,154 | 1,742 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,679 | 1,378 | $0.00 |
| 99173 | 0% | 1,055 | 998 | $0.00 |
31 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,496 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,664 | $0.00 |
| 90710 | 0% | 413 | $0.00 | |
| 3078F | 0% | 993 | $0.00 | |
| 90700 | 0% | 85 | $0.00 | |
| 90715 | 0% | 315 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 80 | $0.00 |
| 3725F | 0% | 520 | $0.00 | |
| 90685 | 0% | 111 | $0.00 | |
| 90707 | 0% | 61 | $0.00 | |
| 83655 | 0% | 15 | $0.00 | |
| 90723 | 0% | 146 | $0.00 | |
| 3074F | 0% | 1,051 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,132 | $0.00 |
| 3008F | 0% | 1,883 | $0.00 | |
| 90686 | 0% | 1,260 | $0.00 | |
| 90620 | 0% | 134 | $0.00 | |
| 90696 | 0% | 366 | $0.00 | |
| 1036F | 0% | 1,409 | $0.00 | |
| 90680 | 0% | 794 | $0.00 | |
| 96127 | 0% | 774 | $0.00 | |
| 90698 | 0% | 1,174 | $0.00 | |
| 92551 | 0% | 888 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 28 | $0.00 |
| 90744 | 0% | 722 | $0.00 | |
| 90716 | 0% | 79 | $0.00 | |
| 90697 | 0% | 189 | $0.00 | |
| 99381 | 0% | 54 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 18 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 167 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 51 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.