Clinic
Pike County Memorial Hospital
Pike County Memorial Hospital was paid $310K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoPIKE COUNTY MEMORIAL HOSPITAL
LOUISIANA, MO 63353
LOUISIANA, MO 63353
33aNPI1437265311assigned 08/22/2006
33bProvider typeRural Health Clinic/Center
28Total paid$310K
24GClaims3,233
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#113 of 227
Median peer was paid$306K
This provider vs. median1.0×
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 | 1,126 | $123K | |
| 2019 | 1,137 | $117K | |
| 2020 | 366 | $33K | |
| 2021 | 200 | $13K | |
| 2022 | 175 | $10K | |
| 2023 | 132 | $9K | |
| 2024incomplete | 97 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 1,682 | 1,513 | $157K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 23% | 805 | 528 | $71K |
| 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 | 21% | 572 | 532 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 111 | 97 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 30 | 30 | $4K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 15 | 13 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 18 | 12 | $1K |
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 officialSELLE, JUSTIN (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST Nicholas Hospital-Sisters of the Third Order of ST. Francis | Sheboygan, WI | $418K |
| Pike County Memorial Hospital | Bowling Green, MO | $326K |
| ST. Nicholas Hospital-Sisters of the Third Order of ST. Francis | Sheboygan, WI | $211K |
| Pike County Memorial Hospital | Bowling Green, MO | $54K |
| Pike County Memorial Hospital | Vandalia, MO | $344.24 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.