Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Mattoon › NPI 1881145357
Behavioral

Southern Illinois Healthcare Foundation, INC

Southern Illinois Healthcare Foundation, INC was paid $968K by Medicaid between Jan 2018 and Dec 2024, across 12 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
MATTOON, IL 61938
33aNPI1881145357assigned 10/20/2016
33bProvider typeClinical Social Worker
28Total paid$968K
24GClaims16,755
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in Illinois

Rank by total paid#20 of 703
Median peer was paid$25K
This provider vs. median39×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,442$148K
20195,799$190K
20201,840$123K
20211,682$136K
20221,634$138K
20231,723$138K
2024incomplete1,635$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 7,841 6,121 $968K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 0% 5,398 4,037 $0.00
Q3014 Telehealth originating site facility fee 0% 2,583 1,506 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 399 391 $0.00
3008F 0% 201 192 $0.00
3080F 0% 13 13 $0.00
1036F 0% 14 12 $0.00
3074F 0% 31 29 $0.00
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 0% 32 27 $0.00
3725F 0% 216 206 $0.00
3077F 0% 15 15 $0.00
3078F 0% 12 12 $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)
Same official

Other billing entities under MCCULLEY, LARRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.