Physician
Capital Region Medical Center
Capital Region Medical Center was paid $4.40M by Medicaid between Jan 2018 and Dec 2023, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCAPITAL REGION MEDICAL CENTER
JEFFERSON CITY, MO 65101
JEFFERSON CITY, MO 65101
33aNPI1477980837assigned 10/01/2013
33bProvider typeInternal Medicine Physician
28Total paid$4.40M
24GClaims103,713
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#3 of 364
Median peer was paid$10K
This provider vs. median429×
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 | 5,926 | $115K | |
| 2019 | 4,141 | $85K | |
| 2020 | 6,198 | $191K | |
| 2021 | 17,948 | $588K | |
| 2022 | 30,213 | $1.25M | |
| 2023 | 39,287 | $2.16M |
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 | 46% | 34,588 | 30,520 | $2.00M |
| 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 | 23% | 19,768 | 17,506 | $1.00M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 2,709 | 2,366 | $241K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 3,198 | 2,043 | $197K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 3,778 | 3,410 | $156K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.8% | 1,461 | 1,009 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 1,218 | 1,177 | $109K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 2,593 | 2,454 | $74K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 2,678 | 2,242 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 543 | 534 | $47K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 424 | 401 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,869 | 1,513 | $33K |
68 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 7,314 | $32K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,630 | $27K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 363 | $26K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 465 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,691 | $22K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,592 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 118 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 365 | $12K |
| 90686 | <1% | 1,420 | $10K | |
| 90723 | <1% | 457 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 127 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 95 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 67 | $8K |
| 90670 | <1% | 1,005 | $8K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 277 | $8K |
| 64615 | <1% | 96 | $6K | |
| 99307 | <1% | 570 | $6K | |
| 90961 | <1% | 77 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 130 | $5K |
| 73630 | <1% | 618 | $5K | |
| 59430 | <1% | 13 | $4K | |
| 73610 | <1% | 552 | $4K | |
| 90647 | <1% | 399 | $3K | |
| 73564 | <1% | 337 | $3K | |
| 95886 | <1% | 43 | $2K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 29 | $2K |
| 73030 | <1% | 340 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 66 | $2K |
| 99460 | <1% | 26 | $2K | |
| 73110 | <1% | 321 | $2K | |
| 92567 | <1% | 213 | $2K | |
| 73130 | <1% | 256 | $2K | |
| 59025 | Fetal non-stress test | <1% | 42 | $1K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 16 | $1K |
| 0002A | <1% | 52 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $983.55 |
| 99406 | <1% | 213 | $947.76 | |
| 0001A | <1% | 30 | $814.10 | |
| 97597 | <1% | 20 | $793.91 | |
| 85018 | <1% | 380 | $780.95 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $778.53 |
| 11721 | <1% | 189 | $773.47 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 41 | $770.55 |
| 20610 | <1% | 13 | $734.27 | |
| 96127 | <1% | 723 | $661.81 | |
| 74018 | <1% | 121 | $656.97 | |
| 90677 | <1% | 48 | $621.72 | |
| 87807 | <1% | 41 | $465.28 | |
| 73502 | <1% | 68 | $456.76 | |
| 90681 | <1% | 63 | $452.31 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $410.40 |
| 99318 | <1% | 20 | $368.14 | |
| 76642 | <1% | 13 | $361.26 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13 | $302.81 |
| 73590 | <1% | 44 | $247.36 | |
| 72100 | <1% | 26 | $218.14 | |
| 90633 | <1% | 29 | $211.52 | |
| 73562 | <1% | 22 | $179.79 | |
| 94726 | <1% | 26 | $173.50 | |
| 81002 | <1% | 36 | $154.32 | |
| 94010 | <1% | 25 | $137.54 | |
| 94729 | <1% | 26 | $128.65 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 18 | $95.61 |
| 73090 | <1% | 14 | $88.40 | |
| 92558 | <1% | 13 | $70.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 352 | $44.10 |
| 96160 | <1% | 21 | $10.90 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialLUEBBERING, TOM (VICE PRESIDENT OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Capital Region Medical Center | Versailles, MO | $560.64 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.