Southern Missouri Infectious Disease Specialists LLC

Southern Missouri Infectious Disease Specialists LLC was paid $523K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 65% of everything it billed.

33Billing provider infoSOUTHERN MISSOURI INFECTIOUS DISEASE SPECIALISTS LLC
FESTUS, MO 63028

33aNPI1063959104assigned 01/27/2017

33bProvider typeInfectious Disease Physician

28Total paid$523K

24GClaims15,393

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Infectious Disease Physician providers in Missouri

Rank by total paid#3 of 28

Median peer was paid$51K

This provider vs. median10×

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.

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	1,005	$26K
2019	1,624	$53K
2020	2,082	$69K
2021	2,631	$80K
2022	2,803	$109K
2023	2,575	$103K
2024incomplete	2,673	$84K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	65%	11,216	2,916	$343K
99254		17%	1,019	813	$87K
99222	Initial hospital care, per day, moderate complexity	9.5%	2,045	1,881	$50K
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	8.0%	979	839	$42K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	121	42	$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	<1%	13	13	$241.16

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 officialTORRENTO, MARLON (OWNER)