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SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI: 1457660045
· DEXTER, MO 63841
· Family Medicine Physician
· NPI assigned 09/29/2010
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BERRY, KRISTA controls 13+ related entities in our dataset. Read more
$556K
Total Medicaid Paid
Provider Details
| Authorized Official | BERRY, KRISTA (CFO) |
| NPI Enumeration Date | 09/29/2010 |
Related Entities
Other providers sharing the same authorized official: BERRY, KRISTA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,800 |
$235K |
| 2019 |
2,832 |
$211K |
| 2020 |
981 |
$77K |
| 2021 |
157 |
$5K |
| 2022 |
165 |
$5K |
| 2023 |
381 |
$12K |
| 2024 |
373 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,242 |
5,470 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,254 |
1,129 |
$113K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
47 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
111 |
$7K |
| 87400 |
|
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$2K |