Clinic
Physician Groups LC
Physician Groups LC was paid $9.80M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoPHYSICIAN GROUPS LC
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1285664268assigned 07/04/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$9.80M
24GClaims197,563
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Missouri
Rank by total paid#1 of 10
Median peer was paid$50K
This provider vs. median194×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,795 | $415K | |
| 2019 | 16,049 | $441K | |
| 2020 | 20,562 | $642K | |
| 2021 | 32,094 | $1.21M | |
| 2022 | 40,623 | $2.21M | |
| 2023 | 38,938 | $2.68M | |
| 2024incomplete | 33,502 | $2.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 46,079 | 42,379 | $3.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 44,661 | 39,899 | $2.72M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 38,056 | 15,196 | $1.18M |
| 99223 | Prolong inpt eval add15 m | 3.6% | 4,202 | 3,820 | $354K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.7% | 5,832 | 5,213 | $263K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 4,473 | 4,309 | $201K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 2,346 | 2,290 | $200K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.0% | 5,699 | 2,845 | $198K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 2,602 | 2,384 | $144K |
| 87428 | 1.5% | 1,914 | 1,879 | $143K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 5,983 | 4,696 | $129K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,242 | 1,623 | $111K |
98 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,198 | $90K |
| 20610 | <1% | 2,495 | $84K | |
| 0001A | <1% | 2,263 | $75K | |
| 0002A | <1% | 2,201 | $72K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 660 | $69K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,692 | $67K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 628 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 956 | $45K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,057 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 681 | $41K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,519 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 776 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 308 | $28K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 327 | $28K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 229 | $19K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 24 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 991 | $14K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 359 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 122 | $11K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 133 | $10K |
| 99305 | <1% | 294 | $10K | |
| 93296 | <1% | 711 | $9K | |
| 92551 | <1% | 255 | $8K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 730 | $7K |
| 90686 | <1% | 777 | $7K | |
| 99219 | <1% | 270 | $6K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 42 | $5K |
| 11721 | <1% | 609 | $5K | |
| 0072A | <1% | 112 | $4K | |
| 0071A | <1% | 113 | $4K | |
| 90698 | <1% | 153 | $4K | |
| 0004A | <1% | 138 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 98 | $4K |
| 93295 | <1% | 155 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $4K |
| 76830 | Ultrasound, transvaginal | <1% | 36 | $4K |
| 93000 | <1% | 309 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 87 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | $3K |
| 59025 | Fetal non-stress test | <1% | 70 | $3K |
| 90670 | <1% | 300 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 34 | $2K |
| 93016 | <1% | 196 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 74 | $2K |
| 87807 | <1% | 144 | $2K | |
| 93018 | <1% | 165 | $2K | |
| 99243 | <1% | 12 | $2K | |
| 99220 | <1% | 13 | $2K | |
| 73560 | <1% | 85 | $2K | |
| 81025 | <1% | 171 | $1K | |
| 99459 | <1% | 85 | $1K | |
| 87420 | <1% | 97 | $1K | |
| 90648 | <1% | 118 | $1K | |
| 76801 | <1% | 15 | $1K | |
| 0054A | <1% | 94 | $1K | |
| 93227 | <1% | 41 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $984.64 |
| 73030 | <1% | 47 | $942.12 | |
| 0052A | <1% | 55 | $920.00 | |
| 73562 | <1% | 40 | $874.35 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 29 | $862.96 |
| 90656 | <1% | 73 | $795.75 | |
| 73630 | <1% | 56 | $685.52 | |
| 90723 | <1% | 25 | $662.35 | |
| 90680 | <1% | 82 | $644.03 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | $632.47 |
| 81002 | <1% | 173 | $604.89 | |
| 80061 | Lipid panel | <1% | 111 | $543.74 |
| 0003A | <1% | 15 | $480.00 | |
| 90633 | <1% | 54 | $412.37 | |
| 0051A | <1% | 34 | $360.00 | |
| 99304 | <1% | 12 | $352.20 | |
| 99318 | <1% | 14 | $339.90 | |
| 81003 | <1% | 124 | $308.98 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 85 | $306.10 |
| 90707 | <1% | 13 | $280.91 | |
| 95816 | <1% | 12 | $267.95 | |
| 90677 | <1% | 26 | $265.24 | |
| 99441 | <1% | 26 | $226.42 | |
| 93228 | <1% | 13 | $219.39 | |
| 90651 | <1% | 24 | $216.81 | |
| 0053A | <1% | 26 | $200.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 73 | $198.19 |
| 95251 | <1% | 13 | $187.61 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | $137.49 |
| 90734 | <1% | 13 | $137.42 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 51 | $118.02 |
| 90744 | <1% | 15 | $112.35 | |
| 90716 | <1% | 13 | $93.66 | |
| 83037 | <1% | 27 | $57.54 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $44.66 |
| 3288F | 0% | 110 | $0.00 | |
| 91300 | 0% | 278 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 3008F | 0% | 114 | $0.00 | |
| 1101F | 0% | 93 | $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.
From NPPES
Who's on the registration
Authorized officialCANTER-KOESTER, KAREN (VP OPERATIONS AND STRATEGY)
| Provider | Location | Paid |
|---|---|---|
| Physician Groups LC | Farmington, MO | $4.17M |
| Fairview Heights Medical Group SC | Saint Louis, MO | $1.34M |
| Physician Groups LC | Centralia, MO | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.