Clinic
PCRMC Medical Group, INC
PCRMC Medical Group, INC was paid $11.43M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoPCRMC MEDICAL GROUP, INC
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1124237227assigned 05/22/2007
33bProvider typeClinic/Center
28Total paid$11.43M
24GClaims222,610
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Missouri
Rank by total paid#2 of 77
Median peer was paid$48K
This provider vs. median236×
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 | 17,612 | $575K | |
| 2019 | 20,004 | $743K | |
| 2020 | 18,793 | $699K | |
| 2021 | 32,716 | $1.23M | |
| 2022 | 41,767 | $2.20M | |
| 2023 | 50,069 | $3.35M | |
| 2024incomplete | 41,649 | $2.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 63,588 | 59,187 | $4.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 43,694 | 39,012 | $2.22M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 26,032 | 18,434 | $1.22M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 8,020 | 7,253 | $557K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 13,438 | 5,543 | $448K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 5,765 | 4,670 | $403K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 9,612 | 3,991 | $400K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 3,656 | 3,428 | $357K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.5% | 5,526 | 5,164 | $284K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 2,860 | 2,682 | $263K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 3,558 | 3,305 | $184K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,179 | 1,600 | $98K |
87 more codes
| 20610 | <1% | 3,189 | $83K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 686 | $82K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,350 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,615 | $52K |
| 20611 | <1% | 1,345 | $47K | |
| 90961 | <1% | 723 | $45K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,000 | $37K |
| 90837 | Psychotherapy session, about an hour | <1% | 377 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,351 | $31K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,683 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,799 | $29K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 321 | $19K |
| 95117 | <1% | 2,076 | $18K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 94 | $16K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 459 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 309 | $16K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 185 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 701 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 580 | $14K |
| 77014 | <1% | 525 | $12K | |
| 99205 | Prolong outpt/office vis | <1% | 88 | $11K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 233 | $10K |
| 99460 | <1% | 148 | $10K | |
| 95115 | <1% | 1,548 | $10K | |
| 95886 | <1% | 182 | $10K | |
| 11056 | <1% | 641 | $10K | |
| 93000 | <1% | 1,098 | $9K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 42 | $9K |
| 77427 | <1% | 92 | $9K | |
| 93458 | <1% | 63 | $7K | |
| 99307 | <1% | 504 | $7K | |
| 11721 | <1% | 940 | $7K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 44 | $6K |
| 92567 | <1% | 712 | $6K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 25 | $6K |
| 95911 | <1% | 73 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 143 | $5K |
| 87807 | <1% | 416 | $5K | |
| 11720 | <1% | 979 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 95 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $4K |
| 93016 | <1% | 369 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 700 | $3K |
| 99221 | <1% | 115 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 203 | $3K |
| 99220 | <1% | 43 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 98 | $3K |
| 99255 | <1% | 25 | $2K | |
| 69210 | <1% | 125 | $2K | |
| 92579 | <1% | 83 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 129 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 95 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 35 | $1K |
| 81025 | <1% | 183 | $1K | |
| 99219 | <1% | 29 | $1K | |
| 77263 | <1% | 15 | $1K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 15 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,419 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $976.43 |
| 90670 | <1% | 70 | $924.29 | |
| 51798 | <1% | 128 | $896.55 | |
| 92557 | <1% | 55 | $816.85 | |
| 77334 | <1% | 20 | $743.48 | |
| 77300 | <1% | 13 | $714.96 | |
| 95908 | <1% | 18 | $711.27 | |
| 11719 | <1% | 359 | $681.29 | |
| 81002 | <1% | 259 | $629.22 | |
| 99218 | <1% | 32 | $622.83 | |
| 90723 | <1% | 26 | $616.18 | |
| 96161 | <1% | 16 | $533.88 | |
| 90474 | <1% | 13 | $305.19 | |
| 90680 | <1% | 13 | $305.19 | |
| 99201 | <1% | 13 | $286.15 | |
| 99406 | <1% | 38 | $242.51 | |
| 93296 | <1% | 27 | $236.68 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 59 | $234.72 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 12 | $130.90 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 36 | $113.06 |
| 93280 | <1% | 14 | $102.61 | |
| 81003 | <1% | 30 | $33.15 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 132 | $0.85 |
| 99497 | 0% | 12 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90686 | 0% | 79 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 90688 | 0% | 12 | $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 officialCOOK, JANA (VP, CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pcrmc-Health Services, INC. | Rolla, MO | $995K |
| Phelps County Regional Medical Center | St. James, MO | $981K |
| Phelps County Regional Medical Center | Salem, MO | $935K |
| Phelps County Regional Medical Center | Rolla, MO | $705K |
| Phelps County Regional Medical Center | Waynesville, MO | $579K |
| PCRMC Medical Group, INC | Vienna, MO | $40K |
| Pcrmc-Health Services, INC. | Rolla, MO | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.