Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.

NPI: 1780609578 · BELLEVILLE, IL 62220 · Professional Counselor · NPI assigned 07/13/2006

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

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

$5.24M
Total Medicaid Paid
92,845
Total Claims
74,209
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CHIEF OPERATING OFFICER)
NPI Enumeration Date07/13/2006

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 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 5,910 $378K
2019 20,044 $742K
2020 11,337 $748K
2021 11,832 $823K
2022 11,382 $806K
2023 12,854 $911K
2024 19,486 $837K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 40,126 30,515 $5.20M
T1040 Medicaid certified community behavioral health clinic services, per diem 571 434 $40K
90688 738 536 $635.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 397 271 $430.60
90734 669 546 $261.50
90686 956 854 $166.80
S5190 Wellness assessment, performed by non-physician 294 226 $154.07
90707 29 17 $150.08
90715 579 462 $133.71
83036 Hemoglobin; glycosylated (A1C) 1,683 1,435 $18.90
90687 84 33 $18.80
81025 148 116 $2.58
81003 309 226 $2.18
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,032 846 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,747 9,360 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 880 705 $0.00
90832 Psychotherapy, 30 minutes with patient 1,013 736 $0.00
3725F 1,009 974 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 935 759 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 126 117 $0.00
3078F 1,455 1,377 $0.00
1160F 294 287 $0.00
99201 42 41 $0.00
3077F 241 233 $0.00
90633 72 59 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 83 79 $0.00
90710 70 56 $0.00
90713 13 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 100 98 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 129 104 $0.00
81002 40 37 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 16 $0.00
99173 28 17 $0.00
1036F 1,897 1,765 $0.00
87428 77 76 $0.00
3074F 1,948 1,836 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,413 1,331 $0.00
96127 1,618 1,178 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,230 10,300 $0.00
90651 613 503 $0.00
99384 51 46 $0.00
3079F 841 800 $0.00
3008F 2,840 2,651 $0.00
3080F 181 176 $0.00
3075F 376 362 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,167 1,089 $0.00
90656 141 127 $0.00
99385 276 174 $0.00
82962 89 85 $0.00
86580 14 12 $0.00
99383 74 63 $0.00
90744 21 13 $0.00
90716 38 24 $0.00
90696 32 13 $0.00