Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › East Saint Louis › NPI 1942510508
Physician

Southern Illinois Health Care Foundation, INC.

Southern Illinois Health Care Foundation, INC. was paid $136K by Medicaid between Jan 2018 and Oct 2019, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoSOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
EAST SAINT LOUIS, IL 62201
33aNPI1942510508assigned 10/18/2010
28Total paid$136K
24GClaims3,425
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#780 of 2,947
Median peer was paid$43K
This provider vs. median3.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,216$53K
20192,209$84K
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 99% 1,543 1,163 $135K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 402 332 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 1,058 779 $0.00
S5190 Wellness assessment, performed by non-physician 0% 358 339 $0.00
96127 0% 19 19 $0.00
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 0% 45 27 $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.