Clinic
Phelps County Regional Medical Center
Phelps County Regional Medical Center was paid $705K by Medicaid between Jul 2020 and Dec 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 84% of everything it billed.
33Billing provider infoPHELPS COUNTY REGIONAL MEDICAL CENTER
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1366066037assigned 05/29/2020
33bProvider typeRural Health Clinic/Center
28Total paid$705K
24GClaims19,792
24DCodes billed7
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#69 of 227
Median peer was paid$306K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2020 | 163 | $0.00 | |
| 2021 | 3,453 | $47K | |
| 2022 | 5,524 | $108K | |
| 2023 | 6,909 | $277K | |
| 2024incomplete | 3,743 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 84% | 13,538 | 9,344 | $589K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.0% | 1,296 | 1,069 | $43K |
| 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 | 4.5% | 425 | 319 | $32K |
| 99305 | 4.0% | 370 | 304 | $28K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.5% | 3,962 | 2,884 | $10K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 188 | 176 | $3K |
| 99318 | <1% | 13 | 13 | $292.80 |
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 officialCOOK, JANA (SR. VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| PCRMC Medical Group, INC | Rolla, MO | $11.43M |
| Pcrmc-Health Services, INC. | Rolla, MO | $995K |
| Phelps County Regional Medical Center | St. James, MO | $981K |
| Phelps County Regional Medical Center | Salem, MO | $935K |
| Phelps County Regional Medical Center | Waynesville, MO | $579K |
| PCRMC Medical Group, INC | Vienna, MO | $40K |
| Pcrmc-Health Services, INC. | Rolla, MO | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.