Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

NPI: 1811236458 · MILLSTADT, IL 62260 · Family Medicine Physician · NPI assigned 02/01/2013

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

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

$841K
Total Medicaid Paid
13,756
Total Claims
10,815
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (CEO)
NPI Enumeration Date02/01/2013

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 1,816 $130K
2019 3,232 $115K
2020 2,009 $130K
2021 1,363 $103K
2022 1,093 $96K
2023 1,833 $143K
2024 2,410 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,665 5,135 $841K
90688 102 55 $107.04
83036 Hemoglobin; glycosylated (A1C) 27 27 $18.90
3078F 181 173 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 966 530 $0.00
3725F 129 124 $0.00
1160F 25 24 $0.00
96127 777 584 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,101 2,507 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 430 399 $0.00
3074F 297 278 $0.00
36415 Collection of venous blood by venipuncture 45 37 $0.00
1036F 298 274 $0.00
3008F 486 448 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 81 80 $0.00
S5190 Wellness assessment, performed by non-physician 15 15 $0.00
3075F 13 13 $0.00
3079F 118 112 $0.00