NP / PA
Southern Illinois Healthcare Foundation, INC.
Southern Illinois Healthcare Foundation, INC. was paid $251K by Medicaid between Jan 2018 and Nov 2024, across 16 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 62204
EAST SAINT LOUIS, IL 62204
33aNPI1831254234assigned 12/26/2006
33bProvider typeSchool Nurse Practitioner
28Total paid$251K
24GClaims4,342
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
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 | 202 | $16K | |
| 2019 | 1,135 | $39K | |
| 2020 | 141 | $11K | |
| 2021 | 449 | $30K | |
| 2022 | 806 | $53K | |
| 2023 | 877 | $65K | |
| 2024incomplete | 732 | $37K |
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% | 1,763 | 1,425 | $251K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 415 | 343 | $0.00 |
| 99173 | 0% | 471 | 347 | $0.00 | |
| 3725F | 0% | 156 | 147 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 621 | 472 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 61 | 59 | $0.00 |
| 90734 | 0% | 48 | 44 | $0.00 | |
| 3078F | 0% | 108 | 98 | $0.00 | |
| 90715 | 0% | 12 | 12 | $0.00 | |
| 3008F | 0% | 214 | 188 | $0.00 | |
| 99383 | 0% | 16 | 16 | $0.00 | |
| 96127 | 0% | 104 | 98 | $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 (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.