Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › PHYSICIAN GROUPS LC

PHYSICIAN GROUPS LC

NPI: 1285664268 · SAINT LOUIS, MO 63141 · Medical Specialty Clinic/Center · NPI assigned 07/04/2006

$9.80M
Total Medicaid Paid
197,563
Total Claims
156,212
Beneficiaries
110
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANTER-KOESTER, KAREN (VP OPERATIONS AND STRATEGY)
NPI Enumeration Date07/04/2006

Related Entities

Other providers sharing the same authorized official: CANTER-KOESTER, KAREN

ProviderCityStateTotal Paid
PHYSICIAN GROUPS LC FARMINGTON MO $4.17M
FAIRVIEW HEIGHTS MEDICAL GROUP SC SAINT LOUIS MO $1.34M
PHYSICIAN GROUPS LC CENTRALIA MO $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 33,502 $2.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,079 42,379 $3.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,661 39,899 $2.72M
99232 Subsequent hospital care, per day, moderate complexity 38,056 15,196 $1.18M
99223 Prolong inpt eval add15 m 4,202 3,820 $354K
99239 Hospital discharge day management, more than 30 minutes 5,832 5,213 $263K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,473 4,309 $201K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,346 2,290 $200K
99233 Prolong inpt eval add15 m 5,699 2,845 $198K
99222 Initial hospital care, per day, moderate complexity 2,602 2,384 $144K
87428 1,914 1,879 $143K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,983 4,696 $129K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,242 1,623 $111K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,198 5,089 $90K
20610 2,495 2,115 $84K
0001A 2,263 2,260 $75K
0002A 2,201 2,198 $72K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 660 657 $69K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,692 1,400 $67K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 628 600 $65K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 956 934 $45K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,057 680 $41K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 681 646 $41K
99308 Subsequent nursing facility care, per day, straightforward 2,519 1,869 $35K
99238 Hospital discharge day management, 30 minutes or less 776 746 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 308 307 $28K
99215 Prolong outpt/office vis 327 315 $28K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 229 225 $19K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 24 24 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 991 905 $14K
76819 Fetal biophysical profile; without non-stress testing 359 197 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 122 121 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 133 126 $10K
99305 294 276 $10K
93296 711 694 $9K
92551 255 255 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 730 690 $7K
90686 777 773 $7K
99219 270 153 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 42 14 $5K
11721 609 596 $5K
0072A 112 111 $4K
0071A 113 113 $4K
90698 153 153 $4K
0004A 138 138 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 98 95 $4K
93295 155 151 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $4K
76830 Ultrasound, transvaginal 36 36 $4K
93000 309 287 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 87 75 $3K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 129 99 $3K
59025 Fetal non-stress test 70 42 $3K
90670 300 300 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 34 24 $2K
93016 196 194 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 74 55 $2K
87807 144 137 $2K
93018 165 163 $2K
99243 12 12 $2K
99220 13 12 $2K
73560 85 78 $2K
81025 171 166 $1K
99459 85 74 $1K
87420 97 94 $1K
90648 118 118 $1K
76801 15 15 $1K
0054A 94 93 $1K
93227 41 41 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $984.64
73030 47 44 $942.12
0052A 55 51 $920.00
73562 40 36 $874.35
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29 29 $862.96
90656 73 73 $795.75
73630 56 38 $685.52
90723 25 25 $662.35
90680 82 82 $644.03
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 42 $632.47
81002 173 166 $604.89
80061 Lipid panel 111 100 $543.74
0003A 15 15 $480.00
90633 54 54 $412.37
0051A 34 34 $360.00
99304 12 12 $352.20
99318 14 14 $339.90
81003 124 123 $308.98
83036 Hemoglobin; glycosylated (A1C) 85 78 $306.10
90707 13 13 $280.91
95816 12 12 $267.95
90677 26 26 $265.24
99441 26 20 $226.42
93228 13 13 $219.39
90651 24 24 $216.81
0053A 26 22 $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) 73 54 $198.19
95251 13 12 $187.61
90792 Psychiatric diagnostic evaluation with medical services 17 12 $137.49
90734 13 12 $137.42
J1030 Injection, methylprednisolone acetate, 40 mg 51 37 $118.02
90744 15 15 $112.35
90716 13 13 $93.66
83037 27 24 $57.54
J1040 Injection, methylprednisolone acetate, 80 mg 13 13 $44.66
3288F 110 96 $0.00
91300 278 245 $0.00
G0008 Administration of influenza virus vaccine 27 26 $0.00
3008F 114 103 $0.00
1101F 93 80 $0.00