Clinic
Lake Regional Health System
Lake Regional Health System was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoLAKE REGIONAL HEALTH SYSTEM
ELDON, MO 65026
ELDON, MO 65026
33aNPI1053427492assigned 08/21/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.85M
24GClaims24,140
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#19 of 227
Median peer was paid$306K
This provider vs. median6.1×
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 MCROBERTS, KEVIN controls 12+ 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 | 7,163 | $632K | |
| 2019 | 7,484 | $623K | |
| 2020 | 3,525 | $289K | |
| 2021 | 1,720 | $79K | |
| 2022 | 1,609 | $88K | |
| 2023 | 1,409 | $79K | |
| 2024incomplete | 1,230 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 18,546 | 16,719 | $1.36M |
| 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 | 15% | 3,329 | 2,934 | $282K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 826 | 764 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 510 | 486 | $63K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 133 | 125 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 348 | 307 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 96 | 90 | $13K |
| 99381 | <1% | 29 | 27 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 41 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 62 | 58 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 27 | $2K |
| 99406 | <1% | 32 | 23 | $200.04 |
4 more codes
| 3078F | 0% | 26 | $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) | 0% | 93 | $0.00 |
| 3074F | 0% | 26 | $0.00 | |
| 1126F | 0% | 14 | $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 officialMCROBERTS, KEVIN (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.