Pike County Memorial Hospital

Pike County Memorial Hospital was paid $171K by Medicaid between May 2019 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoPIKE COUNTY MEMORIAL HOSPITAL
BOWLING GREEN, MO 63334

33aNPI1134633456assigned 11/22/2017

33bProvider typeRural Health Clinic/Center

28Total paid$171K

24GClaims2,067

24DCodes billed3

24AFirst – last monthMay 2019 – Sep 2024

Compared with peers

Next to other Rural Health Clinic/Center providers in Missouri

Rank by total paid#144 of 227

Median peer was paid$306K

This provider vs. median0.6×

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
2019	472	$54K
2020	449	$52K
2021	171	$9K
2022	350	$19K
2023	413	$23K
2024incomplete	212	$14K

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	66%	1,591	1,497	$113K
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	32%	431	382	$55K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	45	43	$3K

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 officialTRAN, ANNMARY (CFO)