Physician
Cass Regional Medical Center
Cass Regional Medical Center was paid $6.60M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99283, emergency room visit (moderate) — 16% of everything it billed.
33Billing provider infoCASS REGIONAL MEDICAL CENTER
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
33aNPI1477535326assigned 11/16/2005
33bProvider typeEmergency Medicine Physician
28Total paid$6.60M
24GClaims57,873
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Missouri
Rank by total paid#6 of 571
Median peer was paid$14K
This provider vs. median467×
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 | 7,223 | $2.00M | |
| 2019 | 6,364 | $1.10M | |
| 2020 | 5,249 | $551K | |
| 2021 | 8,021 | $275K | |
| 2022 | 10,806 | $792K | |
| 2023 | 11,613 | $1.03M | |
| 2024incomplete | 8,597 | $849K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 5,593 | 5,348 | $1.05M |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 9,712 | 8,465 | $720K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10% | 2,420 | 2,287 | $668K |
| 80053 | Comprehensive metabolic panel | 9.6% | 9,019 | 7,933 | $633K |
| X4011 | State-specific procedure code | 9.3% | 1,212 | 1,142 | $616K |
| Y7506 | 9.0% | 2,755 | 2,420 | $593K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.0% | 2,157 | 1,975 | $592K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 992 | 665 | $261K |
| 81003 | 3.4% | 4,198 | 3,910 | $224K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 3.2% | 2,375 | 2,228 | $211K |
| 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 | 2.3% | 2,695 | 2,520 | $150K |
| G0378 | Hospital observation service, per hour | 2.1% | 283 | 204 | $142K |
45 more codes
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.8% | 463 | $116K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.7% | 787 | $114K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 800 | $87K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,021 | $60K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,533 | $60K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 976 | $52K |
| 87070 | <1% | 196 | $49K | |
| 87631 | <1% | 522 | $35K | |
| 71045 | Radiologic examination, chest; single view | <1% | 551 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,177 | $22K |
| X4003 | <1% | 211 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 25 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 465 | $9K |
| Y7507 | <1% | 56 | $9K | |
| 11721 | <1% | 1,098 | $8K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 239 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 116 | $7K |
| 81025 | <1% | 90 | $6K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | $5K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 55 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 63 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 100 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 104 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 26 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 72 | $3K |
| 84484 | <1% | 369 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 55 | $2K |
| 80306 | <1% | 26 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $2K |
| J3490 | Unclassified drugs | <1% | 98 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 94 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 113 | $1K |
| 83690 | <1% | 197 | $941.86 | |
| 85652 | <1% | 136 | $665.24 | |
| 85610 | <1% | 226 | $658.97 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 49 | $585.16 |
| 86140 | <1% | 82 | $420.12 | |
| 83880 | <1% | 12 | $296.76 | |
| 82550 | <1% | 44 | $186.38 | |
| 83735 | <1% | 32 | $149.88 | |
| 85379 | <1% | 25 | $128.20 | |
| 85730 | <1% | 15 | $77.38 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 14 | $35.96 |
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 officialLANG, J. (CEO)