Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1750530424 · COLLINSVILLE, IL 62234 · Professional Counselor · NPI assigned 09/17/2008

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

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

$4.70M
Total Medicaid Paid
102,088
Total Claims
79,772
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/17/2008

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 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 13,673 $457K
2019 24,472 $750K
2020 18,051 $941K
2021 10,332 $661K
2022 9,019 $588K
2023 10,345 $599K
2024 16,196 $704K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 30,771 20,780 $3.63M
D0999 Unspecified diagnostic procedure, by report 8,267 7,624 $906K
T1040 Medicaid certified community behavioral health clinic services, per diem 2,341 1,523 $166K
90688 212 123 $344.40
96127 2,180 1,641 $25.60
83036 Hemoglobin; glycosylated (A1C) 759 596 $18.90
81003 76 56 $2.18
D0120 Periodic oral evaluation - established patient 2,749 2,649 $0.00
1036F 977 930 $0.00
D0272 Bitewings - two radiographic images 1,578 1,518 $0.00
D1206 Topical application of fluoride varnish 5,111 4,918 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,789 1,853 $0.00
36415 Collection of venous blood by venipuncture 1,060 942 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 929 758 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,199 1,143 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,788 9,846 $0.00
D0150 Comprehensive oral evaluation - new or established patient 2,392 2,298 $0.00
D0140 Limited oral evaluation - problem focused 129 124 $0.00
3074F 979 929 $0.00
D1351 Sealant - per tooth 354 127 $0.00
S5190 Wellness assessment, performed by non-physician 130 118 $0.00
3008F 1,523 1,438 $0.00
90834 Psychotherapy, 45 minutes with patient 612 534 $0.00
90686 102 71 $0.00
3075F 235 230 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 52 50 $0.00
3079F 530 517 $0.00
D7140 Extraction, erupted tooth or exposed root 177 153 $0.00
3080F 57 55 $0.00
90651 28 28 $0.00
90656 58 54 $0.00
90832 Psychotherapy, 30 minutes with patient 7,458 3,715 $0.00
D1120 Prophylaxis - child 4,212 4,050 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 801 670 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 416 362 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,560 2,236 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 509 459 $0.00
3078F 782 745 $0.00
3725F 889 855 $0.00
D1354 268 242 $0.00
90791 Psychiatric diagnostic evaluation 113 77 $0.00
D0330 Panoramic radiographic image 410 410 $0.00
D0274 Bitewings - four radiographic images 1,332 1,287 $0.00
3077F 187 179 $0.00
90715 39 39 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 366 354 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 122 99 $0.00
D0220 Intraoral - periapical first radiographic image 54 51 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 197 127 $0.00
1160F 62 60 $0.00
90837 Psychotherapy, 53 minutes with patient 167 129 $0.00