Physician
ST Mary's Physician Services LLC
ST Mary's Physician Services LLC was paid $12.06M by Medicaid between Jan 2018 and Dec 2024, across 148 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoST MARY'S PHYSICIAN SERVICES LLC
RUSSELLVILLE, AR 72801
RUSSELLVILLE, AR 72801
33aNPI1124084991assigned 04/21/2006
33bProvider typeInternal Medicine Physician
28Total paid$12.06M
24GClaims681,469
24DCodes billed148
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arkansas
Rank by total paid#1 of 117
Median peer was paid$44K
This provider vs. median274×
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 LAWRENCE, CHARLOTTE controls 20+ 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 | 52,859 | $1.62M | |
| 2019 | 59,086 | $1.72M | |
| 2020 | 56,333 | $1.46M | |
| 2021 | 107,853 | $2.10M | |
| 2022 | 145,380 | $2.06M | |
| 2023 | 172,143 | $1.84M | |
| 2024incomplete | 87,815 | $1.26M |
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 | 34% | 134,976 | 118,078 | $4.12M |
| 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 | 25% | 58,608 | 50,857 | $3.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 16,291 | 14,854 | $861K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 14,112 | 12,712 | $727K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 3.2% | 5,015 | 4,000 | $389K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 6,623 | 5,951 | $342K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.8% | 2,727 | 2,510 | $336K |
| 87631 | 1.6% | 2,397 | 2,246 | $193K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 8,055 | 6,927 | $178K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 3,845 | 3,259 | $137K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 3,846 | 3,259 | $137K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 3,865 | 3,294 | $134K |
136 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,379 | $115K |
| 90670 | <1% | 10,311 | $106K | |
| 90698 | <1% | 8,225 | $91K | |
| 90680 | <1% | 8,989 | $91K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,820 | $82K |
| 99223 | Prolong inpt eval add15 m | <1% | 800 | $54K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,208 | $50K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,303 | $50K |
| 90686 | <1% | 4,443 | $50K | |
| 90633 | <1% | 4,509 | $45K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,069 | $39K |
| 90697 | <1% | 2,986 | $35K | |
| 90707 | <1% | 3,212 | $33K | |
| 90716 | <1% | 3,177 | $33K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,232 | $32K |
| 90744 | <1% | 3,035 | $31K | |
| 93000 | <1% | 4,243 | $30K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,514 | $28K |
| 93018 | <1% | 1,160 | $25K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 515 | $22K |
| 90671 | <1% | 2,382 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 128 | $17K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 532 | $17K |
| 86780 | <1% | 1,071 | $17K | |
| 90674 | <1% | 1,571 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 200 | $16K |
| 90677 | <1% | 1,272 | $15K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,615 | $15K |
| 0002A | <1% | 332 | $14K | |
| 0072A | <1% | 149 | $14K | |
| 93016 | <1% | 1,155 | $12K | |
| 0071A | <1% | 128 | $12K | |
| 88720 | <1% | 1,751 | $12K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 630 | $11K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 367 | $11K |
| 81025 | <1% | 1,728 | $10K | |
| 0001A | <1% | 284 | $10K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,534 | $8K |
| 94060 | <1% | 413 | $8K | |
| 90688 | <1% | 883 | $8K | |
| 87653 | <1% | 232 | $8K | |
| 83655 | <1% | 440 | $7K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 254 | $7K |
| 59025 | Fetal non-stress test | <1% | 134 | $6K |
| 90648 | <1% | 562 | $5K | |
| 90723 | <1% | 535 | $5K | |
| 87660 | <1% | 251 | $5K | |
| 87510 | <1% | 251 | $5K | |
| 87480 | <1% | 251 | $5K | |
| 90734 | <1% | 416 | $5K | |
| 80061 | Lipid panel | <1% | 563 | $4K |
| 90651 | <1% | 399 | $4K | |
| 86803 | <1% | 228 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 223 | $3K |
| 73560 | <1% | 266 | $3K | |
| 86762 | <1% | 170 | $3K | |
| 90696 | <1% | 239 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 100 | $3K |
| 87340 | <1% | 241 | $3K | |
| 99201 | <1% | 170 | $3K | |
| 69210 | <1% | 71 | $2K | |
| 99460 | <1% | 30 | $2K | |
| 90619 | <1% | 175 | $2K | |
| 93458 | <1% | 13 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 323 | $2K |
| 86901 | <1% | 185 | $2K | |
| 90661 | <1% | 170 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 161 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 55 | $2K |
| 86850 | <1% | 263 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 31 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 111 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 205 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $2K |
| 90715 | <1% | 104 | $2K | |
| 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) | <1% | 318 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,914 | $1K |
| 82947 | <1% | 305 | $1K | |
| 99188 | <1% | 85 | $1K | |
| 81001 | <1% | 297 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 43 | $1K |
| 90685 | <1% | 109 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $949.83 |
| G0008 | Administration of influenza virus vaccine | <1% | 146 | $880.65 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 127 | $824.18 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 15 | $778.43 |
| 93227 | <1% | 30 | $756.50 | |
| 73562 | <1% | 34 | $727.41 | |
| 87210 | <1% | 252 | $723.87 | |
| 83525 | <1% | 44 | $702.62 | |
| 86900 | <1% | 186 | $676.03 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 39 | $628.13 |
| 94729 | <1% | 249 | $624.60 | |
| 71020 | <1% | 19 | $598.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 95 | $578.16 |
| 20610 | <1% | 25 | $570.71 | |
| 90656 | <1% | 61 | $549.67 | |
| 84439 | <1% | 43 | $540.96 | |
| 73020 | <1% | 59 | $522.64 | |
| 73110 | <1% | 16 | $468.00 | |
| 80050 | General health panel | <1% | 13 | $340.69 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 49 | $290.16 |
| 94150 | <1% | 101 | $290.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,626 | $265.91 |
| 85014 | <1% | 77 | $246.74 | |
| 85018 | <1% | 77 | $246.74 | |
| 0004A | <1% | 13 | $240.00 | |
| 0012A | <1% | 20 | $200.00 | |
| 0011A | <1% | 22 | $200.00 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 505 | $170.94 |
| 90380 | <1% | 13 | $144.54 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | $102.26 |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 295 | $73.26 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 21 | $61.73 |
| 3074F | <1% | 25,574 | $50.03 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 66 | $40.38 |
| 3078F | <1% | 21,208 | $40.10 | |
| 3079F | <1% | 4,814 | $30.01 | |
| 1160F | <1% | 75,269 | $28.49 | |
| 3077F | <1% | 540 | $10.00 | |
| 82043 | <1% | 12 | $8.27 | |
| 3008F | <1% | 82,568 | $0.34 | |
| 1126F | <1% | 6,510 | $0.01 | |
| 1036F | <1% | 47,272 | $0.01 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 22,755 | $0.00 |
| 1159F | 0% | 2,597 | $0.00 | |
| 90461 | 0% | 17,140 | $0.00 | |
| 3725F | 0% | 84 | $0.00 | |
| 96160 | 0% | 12 | $0.00 | |
| 97803 | 0% | 13 | $0.00 | |
| 1125F | 0% | 5,942 | $0.00 | |
| 3075F | 0% | 674 | $0.00 | |
| 97802 | 0% | 501 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 96127 | 0% | 37 | $0.00 | |
| 3080F | 0% | 13 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.