Behavioral
Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $4.70M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
COLLINSVILLE, IL 62234
COLLINSVILLE, IL 62234
33aNPI1750530424assigned 09/17/2008
33bProvider typeProfessional Counselor
28Total paid$4.70M
24GClaims102,088
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Illinois
Rank by total paid#6 of 314
Median peer was paid$39K
This provider vs. median121×
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.
Entity ProliferationAuthorized official MCCULLEY, LARRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,673 | $457K | |
| 2019 | 24,472 | $750K | |
| 2020 | 18,051 | $941K | |
| 2021 | 10,332 | $661K | |
| 2022 | 9,019 | $588K | |
| 2023 | 10,345 | $599K | |
| 2024incomplete | 16,196 | $704K |
Box 24 · Service lines
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 | 77% | 30,771 | 20,780 | $3.63M |
| D0999 | Unspecified diagnostic procedure, by report | 19% | 8,267 | 7,624 | $906K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.5% | 2,341 | 1,523 | $166K |
| 90688 | <1% | 212 | 123 | $344.40 | |
| 96127 | <1% | 2,180 | 1,641 | $25.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 759 | 596 | $18.90 |
| 81003 | <1% | 76 | 56 | $2.18 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 2,749 | 2,649 | $0.00 |
| 1036F | 0% | 977 | 930 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,578 | 1,518 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 5,111 | 4,918 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 2,789 | 1,853 | $0.00 |
39 more codes
| 36415 | Collection of venous blood by venipuncture | 0% | 1,060 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 929 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,199 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 12,788 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 2,392 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 129 | $0.00 |
| 3074F | 0% | 979 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 354 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 130 | $0.00 |
| 3008F | 0% | 1,523 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 612 | $0.00 |
| 90686 | 0% | 102 | $0.00 | |
| 3075F | 0% | 235 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 52 | $0.00 |
| 3079F | 0% | 530 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 177 | $0.00 |
| 3080F | 0% | 57 | $0.00 | |
| 90651 | 0% | 28 | $0.00 | |
| 90656 | 0% | 58 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 7,458 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 4,212 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 801 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 416 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,560 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 509 | $0.00 |
| 3078F | 0% | 782 | $0.00 | |
| 3725F | 0% | 889 | $0.00 | |
| D1354 | 0% | 268 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 113 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 410 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,332 | $0.00 |
| 3077F | 0% | 187 | $0.00 | |
| 90715 | 0% | 39 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 366 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 122 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 54 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 197 | $0.00 |
| 1160F | 0% | 62 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 167 | $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.
From NPPES
Who's on the registration
Authorized officialMCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.