Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BIG SPRINGS MEDICAL ASSOCIATION

NPI: 1407478399 · POPLAR BLUFF, MO 63901 · Federally Qualified Health Center (FQHC) · NPI assigned 05/13/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WHITE, KAREN controls 20+ related entities in our dataset. Read more

$2.32M
Total Medicaid Paid
41,277
Total Claims
31,473
Beneficiaries
36
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITE, KAREN (CEO)
Parent OrganizationBIG SPRINGS MEDICAL ASSOCIATION
NPI Enumeration Date05/13/2020

Related Entities

Other providers sharing the same authorized official: WHITE, KAREN

ProviderCityStateTotal Paid
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $2.04M
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $1.72M
GALLUP MCKINLEY COUNTY SCHOOLS GALLUP NM $1.72M
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $1.30M
BIG SPRINGS MEDICAL ASSOCIATION ELLINGTON MO $1.04M
BIG SPRINGS MEDICAL ASSOCIATION VAN BUREN MO $1.02M
BIG SPRINGS MEDICAL ASSOCIATION PIEDMONT MO $933K
HELPING HANDS OUTREACH, INC CHALMETTE LA $732K
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $637K
BIG SPRINGS MEDICAL ASSOCIATION EMINENCE MO $600K
BIG SPRINGS MEDICAL ASSOCIATION PILOT KNOB MO $465K
BIG SPRINGS MEDICAL ASSOCIATION ELLINGTON MO $444K
BIG SPRINGS MEDICAL ASSOCIATION ANNAPOLIS MO $297K
BIG SPRINGS MEDICAL ASSOCIATION VIBURNUM MO $121K
BIG SPRINGS MEDICAL ASSOCIATION NAYLOR MO $91K
BIG SPRINGS MEDICAL ASSOCIATION PILOT KNOB MO $73K
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $35K
BIG SPRINGS MEDICAL ASSOCIATION POPLAR BLUFF MO $6K
BIG SPRINGS MEDICAL ASSOCIATION DONIPHAN MO $4K
BIG SPRINGS MEDICAL ASSOCIATION NEELYVILLE MO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,027 $189K
2021 10,117 $445K
2022 11,165 $547K
2023 10,420 $683K
2024 5,548 $459K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,306 8,397 $991K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,480 5,501 $376K
76820 3,240 2,016 $187K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,814 1,617 $161K
76819 Fetal biophysical profile; without non-stress testing 1,124 554 $76K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 606 575 $73K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 491 455 $71K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 774 743 $69K
76801 555 515 $66K
76818 567 278 $59K
99215 Prolong outpt/office vis 300 257 $39K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 321 212 $22K
76376 218 208 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 264 231 $19K
81003 8,135 5,450 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 132 115 $12K
81025 1,698 1,500 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 226 213 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 124 120 $8K
80305 669 628 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,027 903 $6K
90832 Psychotherapy, 30 minutes with patient 126 94 $6K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 26 26 $5K
93976 28 26 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 35 35 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 72 $2K
83036 Hemoglobin; glycosylated (A1C) 279 254 $2K
80053 Comprehensive metabolic panel 161 127 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 71 $907.42
87428 16 15 $899.68
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 15 14 $399.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 12 $317.76
36415 Collection of venous blood by venipuncture 107 83 $230.24
85014 73 55 $100.43
85018 72 53 $96.65
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 53 48 $2.61