Big Springs Medical Association
Big Springs Medical Association was paid $1.72M by Medicaid between Dec 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
DONIPHAN, MO 63935
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 606 | $12K | |
| 2019 | 17,412 | $208K | |
| 2020 | 18,560 | $275K | |
| 2021 | 16,792 | $331K | |
| 2022 | 12,790 | $284K | |
| 2023 | 8,380 | $266K | |
| 2024incomplete | 8,916 | $343K |
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 | 51% | 15,837 | 13,425 | $872K |
| 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 | 23% | 4,296 | 3,784 | $389K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.4% | 922 | 653 | $127K |
| G0467 | Community health center visit, returning patientFederally 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 | 5.6% | 3,626 | 3,123 | $96K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 655 | 408 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 433 | 409 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 1,806 | 1,615 | $24K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 144 | 133 | $21K |
| 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% | 119 | 100 | $16K |
| 99406 | <1% | 1,160 | 997 | $13K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 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 | <1% | 802 | 569 | $10K |
43 more codes
| G0466 | Community health center visit, new patient | <1% | 169 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 380 | $5K |
| 81003 | <1% | 1,349 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 213 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 144 | $4K |
| 80305 | <1% | 298 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | $2K |
| 87807 | <1% | 232 | $2K | |
| 93000 | <1% | 58 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 61 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $1K |
| 83655 | <1% | 114 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,847 | $1K |
| 96127 | <1% | 362 | $620.51 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,037 | $580.66 |
| 81002 | <1% | 34 | $327.47 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 17 | $272.85 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35 | $238.40 |
| 82044 | <1% | 68 | $189.12 | |
| 85018 | <1% | 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 | <1% | 17 | $44.18 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 39 | $7.00 |
| 3725F | 0% | 2,004 | $0.00 | |
| 1160F | 0% | 6,554 | $0.00 | |
| 1159F | 0% | 6,836 | $0.00 | |
| 3078F | 0% | 2,850 | $0.00 | |
| 0521F | 0% | 2,010 | $0.00 | |
| 1158F | 0% | 251 | $0.00 | |
| 2028F | 0% | 419 | $0.00 | |
| 3077F | 0% | 469 | $0.00 | |
| 3008F | 0% | 6,321 | $0.00 | |
| 3079F | 0% | 1,670 | $0.00 | |
| 1126F | 0% | 1,512 | $0.00 | |
| 4010F | 0% | 1,115 | $0.00 | |
| 3075F | 0% | 1,070 | $0.00 | |
| 1125F | 0% | 3,668 | $0.00 | |
| 1170F | 0% | 2,703 | $0.00 | |
| 3074F | 0% | 2,527 | $0.00 | |
| 1220F | 0% | 2,067 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 62 | $0.00 |
| 1111F | 0% | 221 | $0.00 | |
| 1157F | 0% | 234 | $0.00 | |
| 3044F | 0% | 33 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.