Medicaid Provider Spending

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

LAKE REGIONAL HEALTH SYSTEM

NPI: 1053427492 · ELDON, MO 65026 · Rural Health Clinic/Center · NPI assigned 08/21/2006

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

Authorized official MCROBERTS, KEVIN controls 12+ related entities in our dataset. Read more

$1.85M
Total Medicaid Paid
24,140
Total Claims
21,750
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCROBERTS, KEVIN (CEO)
NPI Enumeration Date08/21/2006

Related Entities

Other providers sharing the same authorized official: MCROBERTS, KEVIN

ProviderCityStateTotal Paid
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $23.69M
LAKE REGIONAL MEDICAL MANAGEMENT, INC. OSAGE BEACH MO $2.13M
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $1.49M
LAKE REGIONAL HEALTH SYSTEM CAMDENTON MO $1.36M
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $1.03M
LAKE REGIONAL HEALTH SYSTEM LAKE OZARK MO $798K
LAKE REGIONAL HEALTH SYSTEM LAURIE MO $244K
LAKE REGIONAL HEALTH SYSTEM LEBANON MO $209K
LAKE REGIONAL HEALTH SYSTEM IBERIA MO $113K
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $77K
LAKE REGIONAL HEALTH SYSTEM CAMDENTON MO $62K
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,163 $632K
2019 7,484 $623K
2020 3,525 $289K
2021 1,720 $79K
2022 1,609 $88K
2023 1,409 $79K
2024 1,230 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,546 16,719 $1.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,329 2,934 $282K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 826 764 $92K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 510 486 $63K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 133 125 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 348 307 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 96 90 $13K
99381 29 27 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 41 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 58 $3K
99215 Prolong outpt/office vis 28 27 $2K
99406 32 23 $200.04
3078F 26 25 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 93 84 $0.00
3074F 26 26 $0.00
1126F 14 14 $0.00