Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Springfield › NPI 1366575573
Clinic

Advocates for a Healthy Community, INC.

Advocates for a Healthy Community, INC. was paid $3.82M by Medicaid between Jan 2023 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoADVOCATES FOR A HEALTHY COMMUNITY, INC.
SPRINGFIELD, MO 65802
33aNPI1366575573assigned 03/14/2007
28Total paid$3.82M
24GClaims55,400
24DCodes billed64
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Missouri

Rank by total paid#15 of 215
Median peer was paid$208K
This provider vs. median18×

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.

Entity ProliferationAuthorized official MILLER, KENNETH controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202325,331$1.90M
2024incomplete30,069$1.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 14,813 12,450 $1.14M
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 14% 5,078 4,765 $551K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.3% 4,061 3,770 $355K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7.6% 4,848 2,069 $289K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.8% 2,522 2,512 $221K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.1% 2,053 1,722 $155K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.8% 2,486 1,166 $145K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.1% 1,416 1,394 $119K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.9% 987 968 $109K
59025 Fetal non-stress test 2.4% 2,422 1,231 $91K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.3% 889 795 $87K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.3% 1,319 537 $87K
52 more codes
76801 1.5% 526 $58K
76813 1.3% 549 $51K
59430 1.3% 247 $49K
90832 Psychotherapy session, about 30 minutes 1.1% 717 $42K
76820 1.0% 781 $38K
99215 Doctor's office visit, returning patient (complex) <1% 201 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 475 $25K
92015 Determination of refractive state <1% 1,311 $23K
V2020 Frames, purchases <1% 919 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 230 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 844 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 194 $15K
99203 Doctor's office visit, new patient (routine) <1% 144 $14K
99204 Doctor's office visit, new patient (more involved) <1% 68 $11K
90847 Family psychotherapy with the patient present, 50 minutes <1% 133 $10K
99383 <1% 86 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 398 $8K
99429 <1% 187 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 50 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 922 $4K
92523 <1% 12 $2K
87428 <1% 27 $2K
90834 Psychotherapy session, about 45 minutes <1% 19 $1K
99381 <1% 15 $1K
99460 <1% 14 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 14 $1K
99382 <1% 12 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 13 $983.37
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 56 $795.48
72100 <1% 51 $778.45
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 17 $626.46
71046 Radiologic examination, chest; 2 views <1% 49 $481.25
73562 <1% 22 $306.18
73030 <1% 20 $260.14
71047 <1% 15 $233.16
73630 <1% 17 $173.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $158.64
73610 <1% 14 $95.20
1159F 0% 230 $0.00
1160F 0% 230 $0.00
3078F 0% 174 $0.00
81002 0% 80 $0.00
4274F 0% 51 $0.00
1036F 0% 303 $0.00
3008F 0% 439 $0.00
2000F 0% 281 $0.00
2001F 0% 460 $0.00
1125F 0% 14 $0.00
3074F 0% 203 $0.00
2010F 0% 473 $0.00
3351F 0% 135 $0.00
1126F 0% 52 $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 officialMILLER, KENNETH (CEO)
Same official

Other billing entities under MILLER, KENNETH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.