Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI: 1801322730 · SWANSEA, IL 62226 · Professional Counselor · NPI assigned 05/11/2017

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

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

$1.14M
Total Medicaid Paid
18,136
Total Claims
13,002
Beneficiaries
19
Codes Billed
2018-01
First Month
2022-11
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date05/11/2017

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,297 $223K
2019 6,948 $277K
2020 2,594 $189K
2021 2,992 $243K
2022 2,305 $208K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,382 6,512 $1.14M
96110 Developmental screening, with scoring and documentation, per standardized instrument 788 581 $12.99
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,633 2,517 $0.00
90686 81 74 $0.00
96161 174 110 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 420 316 $0.00
90696 13 13 $0.00
90651 45 44 $0.00
90698 12 12 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 396 308 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 505 350 $0.00
90670 107 105 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 464 363 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,300 1,068 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 719 532 $0.00
90633 12 12 $0.00
96160 45 45 $0.00
90734 28 28 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00