Lake Regional Health System
Lake Regional Health System was paid $1.49M by Medicaid between Jan 2018 and Feb 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
OSAGE BEACH, MO 65065
Next to other Rural Health Clinic/Center 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 | 6,625 | $616K | |
| 2019 | 6,226 | $576K | |
| 2020 | 2,685 | $249K | |
| 2021 | 616 | $27K | |
| 2022 | 359 | $17K | |
| 2023 | 147 | $8K | |
| 2024incomplete | 18 | $1K |
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 | 65% | 11,894 | 10,958 | $975K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 1,324 | 1,258 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 1,003 | 950 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 721 | 695 | $93K |
| 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 | 4.0% | 793 | 720 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 361 | 345 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 262 | 245 | $28K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 285 | 268 | $10K |
| 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% | 33 | 27 | $5K |
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 |
|---|---|---|
| Lake Regional Health System | Osage Beach, MO | $23.69M |
| Lake Regional Medical Management, INC. | Osage Beach, MO | $2.13M |
| Lake Regional Health System | Eldon, MO | $1.85M |
| Lake Regional Health System | Camdenton, MO | $1.36M |
| Lake Regional Health System | Osage Beach, MO | $1.03M |
| Lake Regional Health System | Lake Ozark, MO | $798K |
| Lake Regional Health System | Laurie, MO | $244K |
| Lake Regional Health System | Lebanon, MO | $209K |
| Lake Regional Health System | Iberia, MO | $113K |
| Lake Regional Health System | Osage Beach, MO | $77K |
| Lake Regional Health System | Camdenton, MO | $62K |
| Lake Regional Health System | Osage Beach, MO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.