Clinic
Phelps County Regional Medical Center
Phelps County Regional Medical Center was paid $2.63M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.
33Billing provider infoPHELPS COUNTY REGIONAL MEDICAL CENTER
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1144386103assigned 12/27/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.63M
24GClaims50,459
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Missouri
Rank by total paid#10 of 65
Median peer was paid$147K
This provider vs. median18×
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 | 2,036 | $44K | |
| 2019 | 1,352 | $19K | |
| 2020 | 2,339 | $66K | |
| 2021 | 7,340 | $330K | |
| 2022 | 11,309 | $590K | |
| 2023 | 13,624 | $848K | |
| 2024incomplete | 12,459 | $738K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 51% | 15,489 | 14,802 | $1.34M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 22% | 4,532 | 4,303 | $573K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 6,341 | 6,115 | $372K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.5% | 17,607 | 15,494 | $93K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.8% | 2,682 | 2,556 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,555 | 1,441 | $74K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.7% | 833 | 791 | $44K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 244 | 237 | $18K |
| 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 | <1% | 57 | 52 | $6K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 50 | 45 | $6K |
| 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 | <1% | 123 | 108 | $5K |
| 64483 | <1% | 27 | 25 | $5K |
15 more codes
| 99152 | <1% | 122 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $3K |
| 64493 | <1% | 12 | $3K | |
| 64490 | <1% | 28 | $3K | |
| 94060 | <1% | 192 | $2K | |
| 00126 | <1% | 35 | $1K | |
| 64491 | <1% | 27 | $1K | |
| 93018 | <1% | 99 | $1K | |
| 95811 | <1% | 12 | $1K | |
| 64494 | <1% | 15 | $1K | |
| 94729 | <1% | 139 | $949.25 | |
| 94726 | <1% | 99 | $894.98 | |
| 95819 | <1% | 25 | $788.22 | |
| 93244 | <1% | 13 | $235.21 | |
| 93971 | <1% | 13 | $209.25 |
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 officialDENBO, JOHN (CEO)