Big Springs Medical Association
Big Springs Medical Association was paid $637K by Medicaid between Apr 2022 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
DONIPHAN, MO 63935
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 3,064 | $115K | |
| 2023 | 5,525 | $271K | |
| 2024incomplete | 4,101 | $251K |
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 | 63% | 5,604 | 5,039 | $404K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 846 | 835 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.6% | 672 | 631 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 647 | 631 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 386 | 359 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.5% | 2,450 | 2,124 | $29K |
| 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% | 58 | 58 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 478 | 373 | $6K |
| 87428 | <1% | 188 | 177 | $5K | |
| 87634 | <1% | 50 | 47 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 82 | 78 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 49 | 49 | $2K |
12 more codes
| 87807 | <1% | 168 | $2K | |
| 83655 | <1% | 166 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 37 | $915.28 |
| Q3014 | Telehealth originating site facility fee | <1% | 29 | $800.11 |
| 99173 | <1% | 55 | $535.44 | |
| 85018 | <1% | 148 | $274.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | $162.38 |
| 81003 | <1% | 72 | $123.31 | |
| 3008F | 0% | 120 | $0.00 | |
| 1126F | 0% | 148 | $0.00 | |
| 3074F | 0% | 105 | $0.00 | |
| 3078F | 0% | 105 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Big Springs Medical Association | Poplar Bluff, MO | $2.32M |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.