Physician Groups LC

Physician Groups LC was paid $4.17M by Medicaid between Jan 2018 and Dec 2022, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoPHYSICIAN GROUPS LC
FARMINGTON, MO 63640

33aNPI1427114990assigned 12/29/2006

33bProvider typeRural Health Clinic/Center

28Total paid$4.17M

24GClaims61,592

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Rural Health Clinic/Center providers in Missouri

Rank by total paid#3 of 227

Median peer was paid$306K

This provider vs. median14×

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	19,947	$1.44M
2019	16,985	$1.27M
2020	9,536	$699K
2021	7,263	$354K
2022	7,861	$413K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	96%	57,547	45,497	$4.01M
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	1.9%	1,402	1,307	$78K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	1,217	1,105	$42K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	199	179	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	205	190	$8K
11721		<1%	406	381	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	138	124	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	27	27	$2K
80305		<1%	177	151	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	12	12	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	45	41	$1K
0012A		<1%	29	29	$1K

8 more codes

0011A		<1%	42	$1K
0001A		<1%	27	$1K
99243		<1%	15	$1K
99177		<1%	12	$932.46
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	47	$896.10
0002A		<1%	16	$552.16
97597		<1%	16	$330.55
3288F		0%	13	$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)

Same official

Other billing entities under CANTER-KOESTER, KAREN

Full network →

Provider	Location	Paid
Physician Groups LC	Saint Louis, MO	$9.80M
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.