Physician
Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $9.77M by Medicaid between Jan 2018 and Dec 2024, across 74 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.
33Billing provider infoSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
EAST SAINT LOUIS, IL 62205
EAST SAINT LOUIS, IL 62205
33aNPI1811054935assigned 01/02/2007
33bProvider typeFamily Medicine Physician
28Total paid$9.77M
24GClaims211,725
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#8 of 2,947
Median peer was paid$43K
This provider vs. median229×
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 | 17,466 | $884K | |
| 2019 | 43,423 | $1.24M | |
| 2020 | 23,912 | $1.43M | |
| 2021 | 33,978 | $1.54M | |
| 2022 | 25,135 | $1.35M | |
| 2023 | 20,797 | $1.32M | |
| 2024incomplete | 47,014 | $1.99M |
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 | 100% | 72,265 | 56,205 | $9.76M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 700 | 622 | $303.59 |
| 81025 | <1% | 1,549 | 1,180 | $300.52 | |
| 90651 | <1% | 1,496 | 1,226 | $218.81 | |
| 90688 | <1% | 440 | 263 | $53.52 | |
| 96127 | <1% | 3,137 | 2,425 | $36.60 | |
| 90715 | <1% | 1,019 | 814 | $33.10 | |
| 81003 | <1% | 2,967 | 1,968 | $28.34 | |
| 90686 | <1% | 2,303 | 1,993 | $19.58 | |
| 90672 | <1% | 100 | 76 | $12.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 712 | 467 | $12.60 |
| 90734 | <1% | 1,162 | 942 | $6.40 |
62 more codes
| 86580 | <1% | 191 | $4.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 3,953 | $0.00 |
| 90620 | 0% | 599 | $0.00 | |
| 36416 | 0% | 715 | $0.00 | |
| 3074F | 0% | 4,527 | $0.00 | |
| 3079F | 0% | 1,931 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 987 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 19,066 | $0.00 |
| 3075F | 0% | 788 | $0.00 | |
| 87428 | 0% | 445 | $0.00 | |
| 92551 | 0% | 1,569 | $0.00 | |
| 1125F | 0% | 583 | $0.00 | |
| 1036F | 0% | 4,888 | $0.00 | |
| 90697 | 0% | 295 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,732 | $0.00 |
| 90723 | 0% | 365 | $0.00 | |
| 90677 | 0% | 209 | $0.00 | |
| 3080F | 0% | 1,061 | $0.00 | |
| 3008F | 0% | 7,961 | $0.00 | |
| 1126F | 0% | 2,300 | $0.00 | |
| 90716 | 0% | 619 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 250 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 67 | $0.00 |
| 90696 | 0% | 519 | $0.00 | |
| 90698 | 0% | 221 | $0.00 | |
| 90632 | 0% | 13 | $0.00 | |
| 90744 | 0% | 59 | $0.00 | |
| 82962 | 0% | 222 | $0.00 | |
| 90656 | 0% | 273 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 39 | $0.00 |
| 99381 | 0% | 43 | $0.00 | |
| 99383 | 0% | 14 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 23 | $0.00 |
| 3044F | 0% | 14 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,906 | $0.00 |
| 90670 | 0% | 2,186 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 25,489 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 578 | $0.00 |
| 90710 | 0% | 980 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 750 | $0.00 |
| 0502F | 0% | 1,322 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,987 | $0.00 |
| 90681 | 0% | 252 | $0.00 | |
| 3078F | 0% | 3,885 | $0.00 | |
| 90633 | 0% | 1,707 | $0.00 | |
| 90648 | 0% | 919 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,904 | $0.00 |
| 99173 | 0% | 5,613 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,440 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 224 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 623 | $0.00 |
| 3077F | 0% | 1,539 | $0.00 | |
| 90707 | 0% | 648 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 285 | $0.00 |
| 3725F | 0% | 4,035 | $0.00 | |
| 90700 | 0% | 178 | $0.00 | |
| 1160F | 0% | 3,406 | $0.00 | |
| 90685 | 0% | 140 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 174 | $0.00 |
| 90687 | 0% | 75 | $0.00 | |
| 81002 | 0% | 56 | $0.00 | |
| 90658 | 0% | 33 | $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 OPERATING OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.