Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BIG SPRINGS MEDICAL ASSOCIATION

NPI: 1184195281 · DONIPHAN, MO 63935 · Federally Qualified Health Center (FQHC) · NPI assigned 12/16/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WHITE, KAREN controls 20+ related entities in our dataset. Read more

$1.72M
Total Medicaid Paid
83,456
Total Claims
68,462
Beneficiaries
55
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITE, KAREN (CEO)
Parent OrganizationBIG SPRINGS MEDICAL ASSOCIATION
NPI Enumeration Date12/16/2018

Related Entities

Other providers sharing the same authorized official: WHITE, KAREN

ProviderCityStateTotal Paid
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $2.32M
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $2.04M
GALLUP MCKINLEY COUNTY SCHOOLS GALLUP NM $1.72M
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $1.30M
BIG SPRINGS MEDICAL ASSOCIATION ELLINGTON MO $1.04M
BIG SPRINGS MEDICAL ASSOCIATION VAN BUREN MO $1.02M
BIG SPRINGS MEDICAL ASSOCIATION PIEDMONT MO $933K
HELPING HANDS OUTREACH, INC CHALMETTE LA $732K
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $637K
BIG SPRINGS MEDICAL ASSOCIATION EMINENCE MO $600K
BIG SPRINGS MEDICAL ASSOCIATION PILOT KNOB MO $465K
BIG SPRINGS MEDICAL ASSOCIATION ELLINGTON MO $444K
BIG SPRINGS MEDICAL ASSOCIATION ANNAPOLIS MO $297K
BIG SPRINGS MEDICAL ASSOCIATION VIBURNUM MO $121K
BIG SPRINGS MEDICAL ASSOCIATION NAYLOR MO $91K
BIG SPRINGS MEDICAL ASSOCIATION PILOT KNOB MO $73K
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $35K
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $6K
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $4K
BIG SPRINGS MEDICAL ASSOCIATION NEELYVILLE MO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 606 $12K
2019 17,412 $208K
2020 18,560 $275K
2021 16,792 $331K
2022 12,790 $284K
2023 8,380 $266K
2024 8,916 $343K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,837 13,425 $872K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,296 3,784 $389K
90837 Psychotherapy, 53 minutes with patient 922 653 $127K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 3,626 3,123 $96K
90834 Psychotherapy, 45 minutes with patient 655 408 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 433 409 $43K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,806 1,615 $24K
90791 Psychiatric diagnostic evaluation 144 133 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 119 100 $16K
99406 1,160 997 $13K
71046 Radiologic examination, chest; 2 views 362 320 $13K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 802 569 $10K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 169 161 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 380 342 $5K
81003 1,349 1,097 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 213 211 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 144 138 $4K
80305 298 259 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 89 89 $2K
87807 232 219 $2K
93000 58 54 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 61 59 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 35 $1K
83655 114 114 $1K
36415 Collection of venous blood by venipuncture 3,847 3,151 $1K
96127 362 323 $620.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,037 758 $580.66
81002 34 33 $327.47
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17 17 $272.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35 34 $238.40
82044 68 58 $189.12
85018 99 99 $186.88
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 17 14 $44.18
90832 Psychotherapy, 30 minutes with patient 39 29 $7.00
3725F 2,004 1,496 $0.00
1160F 6,554 5,235 $0.00
1159F 6,836 5,438 $0.00
3078F 2,850 2,251 $0.00
0521F 2,010 1,684 $0.00
1158F 251 215 $0.00
2028F 419 300 $0.00
3077F 469 389 $0.00
3008F 6,321 5,007 $0.00
3079F 1,670 1,399 $0.00
1126F 1,512 1,139 $0.00
4010F 1,115 933 $0.00
3075F 1,070 881 $0.00
1125F 3,668 2,984 $0.00
1170F 2,703 2,255 $0.00
3074F 2,527 2,026 $0.00
1220F 2,067 1,520 $0.00
G0008 Administration of influenza virus vaccine 62 57 $0.00
1111F 221 191 $0.00
1157F 234 201 $0.00
3044F 33 31 $0.00