Big Springs Medical Association
Big Springs Medical Association was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
VAN BUREN, MO 63965
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 | 2,772 | $89K | |
| 2019 | 3,462 | $93K | |
| 2020 | 4,009 | $122K | |
| 2021 | 4,546 | $149K | |
| 2022 | 3,447 | $161K | |
| 2023 | 4,646 | $228K | |
| 2024incomplete | 3,903 | $176K |
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 | 50% | 8,814 | 7,874 | $505K |
| 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% | 4,282 | 3,913 | $381K |
| 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 | 6.6% | 2,643 | 2,357 | $67K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.6% | 265 | 180 | $27K |
| 99406 | <1% | 588 | 518 | $8K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 124 | 92 | $7K |
| 80061 | Lipid panel | <1% | 489 | 450 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 90 | 87 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 512 | 468 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 218 | 198 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 75 | 72 | $1K |
| 87428 | <1% | 37 | 37 | $997.71 |
22 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,649 | $861.12 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $826.88 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 122 | $685.92 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 40 | $521.52 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $508.10 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $468.61 |
| 96127 | <1% | 333 | $425.26 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 23 | $422.28 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,262 | $387.69 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 73 | $19.83 |
| 1160F | <1% | 1,243 | $5.00 | |
| 3008F | 0% | 1,227 | $0.00 | |
| 3074F | 0% | 58 | $0.00 | |
| 1220F | 0% | 978 | $0.00 | |
| 1125F | 0% | 33 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| 4010F | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 33 | $0.00 |
| 1159F | 0% | 1,246 | $0.00 | |
| 3725F | 0% | 178 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| 90653 | 0% | 14 | $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 |
| Big Springs Medical Association | Doniphan, MO | $1.72M |
| 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 | 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.