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

Advocates for a Healthy Community INC

Advocates for a Healthy Community INC was paid $23.21M by Medicaid between Jan 2018 and Dec 2024, across 146 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoADVOCATES FOR A HEALTHY COMMUNITY INC
SPRINGFIELD, MO 65806
33aNPI1164657318assigned 05/18/2009
28Total paid$23.21M
24GClaims438,048
24DCodes billed146
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Missouri

Rank by total paid#1 of 215
Median peer was paid$208K
This provider vs. median112×

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$200K$400K$600K2018201920202021202220232024
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
201814,255$809K
201916,571$1.10M
202048,887$2.61M
202183,345$3.82M
2022102,056$5.55M
202391,467$5.60M
2024incomplete81,467$3.72M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 96,512 86,925 $8.86M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 58,961 51,931 $3.49M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.4% 16,473 13,369 $784K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.9% 5,532 5,447 $675K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.7% 7,916 4,867 $622K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.2% 5,799 5,705 $515K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 6,723 6,283 $487K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.9% 5,513 5,113 $441K
80053 Comprehensive metabolic panel 1.7% 16,626 15,602 $398K
87428 1.7% 6,877 6,589 $393K
80055 1.7% 2,765 2,525 $393K
80061 Lipid panel 1.4% 9,126 8,626 $322K
134 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 4,401 $314K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 18,857 $274K
84443 Thyroid stimulating hormone (TSH) 1.2% 6,678 $272K
90792 Psychiatric diagnostic evaluation with medical services 1.2% 1,708 $269K
80306 1.1% 9,682 $263K
V2020 Frames, purchases 1.1% 10,787 $253K
99204 Doctor's office visit, new patient (more involved) <1% 1,446 $230K
92015 Determination of refractive state <1% 12,335 $204K
G0467 Community health center visit, returning patient <1% 7,269 $198K
83036 Hemoglobin; glycosylated (A1C) <1% 6,671 $197K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,819 $195K
99215 Doctor's office visit, returning patient (complex) <1% 1,369 $174K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 9,402 $164K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,787 $158K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,393 $150K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,016 $146K
99460 <1% 1,583 $125K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,844 $125K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,646 $121K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 850 $120K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,118 $109K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,860 $96K
59025 Fetal non-stress test <1% 2,923 $95K
76801 <1% 805 $89K
86803 <1% 2,971 $88K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,171 $83K
90791 Psychiatric diagnostic evaluation <1% 560 $81K
87806 <1% 1,381 $80K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,399 $80K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,717 $80K
99238 Hospital discharge day management, 30 minutes or less <1% 1,247 $73K
99203 Doctor's office visit, new patient (routine) <1% 733 $67K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 10,967 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,164 $54K
90837 Psychotherapy session, about an hour <1% 596 $52K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,041 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 803 $43K
59430 <1% 236 $35K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 2,042 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 467 $33K
99349 <1% 310 $32K
87340 <1% 995 $31K
86762 <1% 535 $29K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 956 $28K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 374 $24K
84439 <1% 1,165 $24K
71046 Radiologic examination, chest; 2 views <1% 1,116 $24K
82607 <1% 507 $23K
99429 <1% 1,170 $21K
99381 <1% 303 $21K
86592 <1% 1,393 $19K
72100 <1% 755 $16K
99205 Prolong outpt/office vis <1% 93 $15K
92526 <1% 221 $12K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 616 $12K
76813 <1% 120 $10K
84702 <1% 316 $9K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 203 $9K
99348 <1% 131 $9K
82950 <1% 1,760 $9K
76820 <1% 167 $8K
99383 <1% 99 $8K
81003 <1% 2,887 $8K
92523 <1% 81 $7K
87807 <1% 596 $7K
86705 <1% 380 $7K
87653 <1% 211 $6K
73562 <1% 382 $6K
83655 <1% 548 $6K
80074 <1% 63 $5K
85018 <1% 2,079 $5K
87077 <1% 566 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 38 $4K
87276 <1% 215 $3K
97165 <1% 91 $3K
87275 <1% 216 $3K
84480 <1% 73 $3K
72040 <1% 156 $3K
99384 <1% 28 $3K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 111 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 100 $2K
99409 <1% 62 $2K
92250 <1% 36 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 70 $2K
54150 <1% 13 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 17 $1K
82570 <1% 65 $1K
99382 <1% 14 $1K
87808 <1% 31 $920.00
92610 <1% 13 $782.04
36415 Collection of venous blood by venipuncture <1% 1,067 $755.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 21 $734.20
82044 <1% 65 $664.65
87905 <1% 40 $529.08
81015 <1% 67 $387.51
82951 <1% 28 $353.27
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 12 $336.84
73502 <1% 16 $318.59
72072 <1% 16 $292.92
73130 <1% 15 $260.48
81001 <1% 24 $225.38
73030 <1% 12 $208.23
73630 <1% 19 $184.31
73610 <1% 13 $175.29
80048 Basic metabolic panel (calcium, ionized) <1% 14 $119.76
86580 <1% 15 $115.63
85027 <1% 13 $102.87
82952 <1% 25 $102.72
99173 <1% 12 $75.00
85007 <1% 13 $51.84
3044F <1% 505 $0.01
3078F 0% 1,607 $0.00
1159F 0% 2,301 $0.00
1160F 0% 2,301 $0.00
3077F 0% 32 $0.00
4004F 0% 816 $0.00
4274F 0% 29 $0.00
2010F 0% 2,861 $0.00
3008F 0% 2,766 $0.00
1034F 0% 506 $0.00
2000F 0% 2,727 $0.00
1036F 0% 1,363 $0.00
1125F 0% 865 $0.00
2001F 0% 2,792 $0.00
3351F 0% 1,014 $0.00
3074F 0% 1,842 $0.00
1126F 0% 487 $0.00
3079F 0% 395 $0.00
4010F 0% 144 $0.00
99406 0% 44 $0.00
3075F 0% 73 $0.00
80050 General health panel 0% 28 $0.00
3352F 0% 15 $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 officialSTINSON, MATTHEW (CEO)
Same official

Other billing entities under STINSON, MATTHEW

Full network →

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