Clinic
Phelps County Regional Medical Center
Phelps County Regional Medical Center was paid $981K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoPHELPS COUNTY REGIONAL MEDICAL CENTER
ST. JAMES, MO 65559
ST. JAMES, MO 65559
33aNPI1457799520assigned 06/11/2013
33bProvider typeRural Health Clinic/Center
28Total paid$981K
24GClaims13,891
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#49 of 227
Median peer was paid$306K
This provider vs. median3.2×
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 | 2,752 | $132K | |
| 2019 | 4,040 | $230K | |
| 2020 | 2,022 | $133K | |
| 2021 | 1,250 | $78K | |
| 2022 | 1,979 | $104K | |
| 2023 | 1,410 | $201K | |
| 2024incomplete | 438 | $103K |
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 | 49% | 8,406 | 6,714 | $484K |
| 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 | 42% | 4,155 | 3,754 | $411K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 1,174 | 1,112 | $77K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 19 | 12 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 110 | 110 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $914.94 |
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 officialCOOK, JANA (CFO/SR. VP)
| Provider | Location | Paid |
|---|---|---|
| PCRMC Medical Group, INC | Rolla, MO | $11.43M |
| Pcrmc-Health Services, INC. | Rolla, MO | $995K |
| Phelps County Regional Medical Center | Salem, MO | $935K |
| Phelps County Regional Medical Center | Rolla, MO | $705K |
| Phelps County Regional Medical Center | Waynesville, MO | $579K |
| PCRMC Medical Group, INC | Vienna, MO | $40K |
| Pcrmc-Health Services, INC. | Rolla, MO | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.