Northwest Health Services INC
Northwest Health Services INC was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
SAINT JOSEPH, MO 64504
Next to other Family Medicine Physician 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 | 2,798 | $114K | |
| 2019 | 2,234 | $124K | |
| 2020 | 1,451 | $85K | |
| 2021 | 2,883 | $162K | |
| 2022 | 3,013 | $143K | |
| 2023 | 2,630 | $152K | |
| 2024incomplete | 3,970 | $246K |
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 | 49% | 8,795 | 7,392 | $499K |
| 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 | 43% | 5,701 | 4,803 | $440K |
| 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 | 6.3% | 3,741 | 3,353 | $65K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 185 | 99 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 98 | 72 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 24 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | 30 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | 25 | $967.06 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 69 | 57 | $926.97 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 117 | 101 | $748.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 55 | 27 | $662.00 |
5 more codes
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 |
|---|---|---|
| Northwest Health Services, INC | Saint Joseph, MO | $1.89M |
| Northwest Health Services, INC. | Saint Joseph, MO | $1.81M |
| Northwest Health Services, INC | Saint Joseph, MO | $1.08M |
| Northwest Health Services, INC. | Saint Joseph, MO | $551K |
| Northwest Health Services, INC. | Hamilton, MO | $377K |
| Northwest Health Services, INC | Mound City, MO | $159K |
| Northwest Health Services, INC | King City, MO | $154K |
| Northwest Health Services, INC | Gower, MO | $137K |
| Northwest Health Services INC | Savannah, MO | $96K |
| Northwest Health Services INC | Chillicothe, MO | $58K |
| Northwest Health Services INC | Cainsville, MO | $53K |
| Northwest Health Services INC | Braymer, MO | $14K |
| Northwest Health Services INC | St. Joseph, MO | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.