Medicaid Provider Spending

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

NPI: 1831125038 · EAST ST LOUIS, IL 62201 · Family Medicine Physician · NPI assigned 06/23/2006

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

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

$12.04M
Total Medicaid Paid
218,848
Total Claims
174,800
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLEY, LARRY (PRESIDENT)
NPI Enumeration Date06/23/2006

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 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
HERITAGE HILLS LLC PATTON MO $1.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,905 $986K
2019 49,910 $1.64M
2020 37,255 $2.33M
2021 28,810 $1.85M
2022 22,486 $1.61M
2023 26,224 $1.76M
2024 35,258 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 95,743 74,053 $12.03M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,302 1,842 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 101 $966.00
90688 198 183 $786.48
S5190 Wellness assessment, performed by non-physician 1,503 1,393 $78.48
90715 590 499 $66.33
90686 3,038 2,471 $58.59
81025 1,886 1,345 $23.23
83036 Hemoglobin; glycosylated (A1C) 1,832 1,407 $18.90
90656 384 353 $16.71
96127 2,142 1,903 $11.00
90687 183 89 $9.40
81003 1,942 1,151 $8.72
90651 763 580 $6.40
99173 2,832 2,188 $0.00
90670 1,150 925 $0.00
90633 539 447 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 90 88 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,857 1,534 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,067 1,671 $0.00
3078F 2,101 1,957 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,511 1,205 $0.00
90734 471 370 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,163 916 $0.00
3725F 2,252 2,108 $0.00
90710 251 195 $0.00
3077F 690 659 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22,350 18,385 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 626 513 $0.00
99201 46 38 $0.00
99215 Prolong outpt/office vis 401 322 $0.00
1160F 1,086 987 $0.00
0502F 40 25 $0.00
90707 14 12 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 61 50 $0.00
90681 42 41 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
90672 34 16 $0.00
3075F 544 530 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,502 6,203 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,072 29,341 $0.00
36416 293 265 $0.00
87428 118 113 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 769 724 $0.00
90677 212 196 $0.00
90698 451 347 $0.00
82962 342 268 $0.00
3080F 489 472 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,593 2,187 $0.00
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 255 160 $0.00
36415 Collection of venous blood by venipuncture 318 272 $0.00
90744 190 128 $0.00
3079F 1,237 1,193 $0.00
90696 36 29 $0.00
1036F 2,249 2,082 $0.00
3074F 2,616 2,456 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,189 1,121 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 192 188 $0.00
3008F 4,467 4,144 $0.00
90697 133 128 $0.00
90620 187 130 $0.00
90792 Psychiatric diagnostic evaluation with medical services 17 12 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 12 12 $0.00
1126F 12 12 $0.00
3044F 20 20 $0.00
85018 19 19 $0.00
1125F 13 13 $0.00