Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mcpherson Medical & Diagnostic, LLC

Mcpherson Medical & Diagnostic, LLC was paid $4.85M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoMCPHERSON MEDICAL & DIAGNOSTIC, LLC
STEELE, MO 63877
33aNPI1164440806assigned 07/18/2006
28Total paid$4.85M
24GClaims137,780
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#4 of 911
Median peer was paid$16K
This provider vs. median308×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20185,250$74K
20191,632$29K
20201,090$52K
202124,009$597K
202231,850$1.07M
202340,257$1.67M
2024incomplete33,692$1.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 44,857 36,152 $1.57M
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 29% 28,719 23,611 $1.40M
95816 6.9% 2,405 685 $336K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.8% 6,997 4,642 $185K
99490 Ccm add 20min 3.1% 7,634 6,708 $150K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.1% 5,063 3,803 $149K
99308 Subsequent nursing facility care, per day, straightforward 2.3% 4,616 3,792 $109K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.1% 1,479 1,271 $104K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.9% 3,132 655 $94K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1.5% 638 100 $75K
99223 Prolong inpt eval add15 m 1.5% 964 733 $74K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 433 413 $48K
104 more codes
93923 <1% 417 $37K
99439 <1% 2,011 $32K
95957 <1% 310 $30K
93925 <1% 356 $30K
71046 Radiologic examination, chest; 2 views <1% 2,305 $29K
99204 Doctor's office visit, new patient (more involved) <1% 255 $26K
96112 <1% 2,061 $26K
93880 <1% 333 $23K
20611 <1% 667 $22K
72100 <1% 1,133 $21K
93000 <1% 1,901 $17K
99203 Doctor's office visit, new patient (routine) <1% 361 $17K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 271 $16K
93922 <1% 317 $13K
94729 <1% 660 $13K
94060 <1% 706 $13K
99487 Ccm add 20min <1% 537 $13K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) <1% 390 $12K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 174 $11K
99239 Hospital discharge day management, more than 30 minutes <1% 319 $10K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 100 $10K
99318 <1% 262 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 287 $7K
90901 <1% 1,837 $7K
94726 <1% 405 $7K
99489 Ccm add 20min <1% 381 $7K
94727 <1% 450 $7K
72040 <1% 335 $6K
94200 <1% 754 $5K
99484 <1% 678 $5K
99215 Doctor's office visit, returning patient (complex) <1% 86 $5K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 28 $4K
98925 <1% 360 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 47 $4K
93970 <1% 71 $4K
92546 <1% 128 $4K
72131 <1% 64 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 164 $3K
99222 Initial hospital care, per day, moderate complexity <1% 71 $3K
95812 <1% 41 $3K
73030 <1% 229 $3K
70450 Computed tomography, head or brain; without contrast material <1% 35 $2K
95115 <1% 485 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 455 $2K
84443 Thyroid stimulating hormone (TSH) <1% 308 $2K
94664 <1% 398 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 483 $2K
80061 Lipid panel <1% 313 $2K
97129 <1% 816 $2K
80053 Comprehensive metabolic panel <1% 345 $2K
99457 <1% 196 $2K
95923 <1% 35 $1K
73560 <1% 100 $1K
90853 Group psychotherapy (other than of a multiple-family group) <1% 351 $1K
93050 <1% 154 $1K
99310 Prolong nursin fac eval 15m <1% 16 $1K
72070 <1% 56 $888.25
95921 <1% 26 $878.68
99306 Prolong nursin fac eval 15m <1% 12 $852.13
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 48 $770.40
99205 Prolong outpt/office vis <1% 17 $736.35
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 79 $711.18
92542 <1% 81 $711.01
99458 <1% 45 $673.82
96116 <1% 170 $667.83
99382 <1% 26 $615.00
96132 <1% 124 $519.96
94010 <1% 33 $451.42
95250 <1% 12 $413.71
69210 <1% 38 $391.34
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 24 $383.01
99442 <1% 45 $355.16
97533 <1% 72 $346.88
99406 <1% 76 $333.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 19 $290.89
92540 <1% 23 $272.76
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 46 $224.14
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% 167 $201.31
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 16 $189.44
36415 Collection of venous blood by venipuncture <1% 359 $185.96
92547 <1% 127 $175.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 131 $160.25
99441 <1% 19 $152.80
84481 <1% 13 $152.44
96136 <1% 12 $113.27
95251 <1% 12 $97.85
83036 Hemoglobin; glycosylated (A1C) <1% 18 $88.52
99454 <1% 22 $81.30
99453 <1% 39 $65.55
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 83 $59.68
84439 <1% 12 $57.68
82962 <1% 27 $57.64
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count <1% 213 $24.00
96127 <1% 14 $5.76
1159F 0% 128 $0.00
T1015 A visit at a community health center or clinic (one all-in rate) 0% 1,018 $0.00
90756 0% 79 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 21 $0.00
0521F 0% 103 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 24 $0.00
1125F 0% 212 $0.00
G0008 Administration of influenza virus vaccine 0% 89 $0.00
80376 0% 24 $0.00
3008F 0% 37 $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 officialMCPHERSON, TIMOTHY (PHYSICIAN/OWNER)
Same official

Other billing entities under MCPHERSON, TIMOTHY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.