Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAPITAL REGION MEDICAL CENTER

NPI: 1477980837 · JEFFERSON CITY, MO 65101 · Internal Medicine Physician · NPI assigned 10/01/2013

$4.40M
Total Medicaid Paid
103,713
Total Claims
90,880
Beneficiaries
80
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLUEBBERING, TOM (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date10/01/2013

Related Entities

Other providers sharing the same authorized official: LUEBBERING, TOM

ProviderCityStateTotal Paid
CAPITAL REGION MEDICAL CENTER VERSAILLES MO $560.64

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,588 30,520 $2.00M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,768 17,506 $1.00M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,709 2,366 $241K
90834 Psychotherapy, 45 minutes with patient 3,198 2,043 $197K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,778 3,410 $156K
90837 Psychotherapy, 53 minutes with patient 1,461 1,009 $125K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,218 1,177 $109K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,593 2,454 $74K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,678 2,242 $59K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 543 534 $47K
99215 Prolong outpt/office vis 424 401 $37K
99308 Subsequent nursing facility care, per day, straightforward 1,869 1,513 $33K
71045 Radiologic examination, chest; single view 7,314 6,171 $32K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,630 4,782 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 363 348 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 465 440 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,691 1,594 $22K
71046 Radiologic examination, chest; 2 views 2,592 2,420 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 118 112 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 365 326 $12K
90686 1,420 1,312 $10K
90723 457 449 $10K
90791 Psychiatric diagnostic evaluation 127 116 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 95 92 $8K
99205 Prolong outpt/office vis 67 63 $8K
90670 1,005 980 $8K
70450 Computed tomography, head or brain; without contrast material 277 259 $8K
64615 96 94 $6K
99307 570 509 $6K
90961 77 75 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 130 128 $5K
73630 618 571 $5K
59430 13 13 $4K
73610 552 509 $4K
90647 399 387 $3K
73564 337 298 $3K
95886 43 37 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 29 26 $2K
73030 340 306 $2K
77067 Screening mammography, bilateral, including computer-aided detection 66 66 $2K
99460 26 26 $2K
73110 321 283 $2K
92567 213 210 $2K
73130 256 235 $2K
59025 Fetal non-stress test 42 36 $1K
90847 Family psychotherapy with the patient present, 50 minutes 16 13 $1K
0002A 52 35 $1K
99238 Hospital discharge day management, 30 minutes or less 15 15 $983.55
99406 213 150 $947.76
0001A 30 30 $814.10
97597 20 12 $793.91
85018 380 363 $780.95
90792 Psychiatric diagnostic evaluation with medical services 14 12 $778.53
11721 189 150 $773.47
76705 Ultrasound, abdominal, real time with image documentation; limited 41 39 $770.55
20610 13 13 $734.27
96127 723 647 $661.81
74018 121 98 $656.97
90677 48 45 $621.72
87807 41 40 $465.28
73502 68 64 $456.76
90681 63 63 $452.31
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 14 $410.40
99318 20 20 $368.14
76642 13 13 $361.26
77063 Screening digital breast tomosynthesis, bilateral 13 13 $302.81
73590 44 38 $247.36
72100 26 26 $218.14
90633 29 28 $211.52
73562 22 17 $179.79
94726 26 26 $173.50
81002 36 28 $154.32
94010 25 25 $137.54
94729 26 26 $128.65
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 18 17 $95.61
73090 14 12 $88.40
92558 13 13 $70.20
36415 Collection of venous blood by venipuncture 352 298 $44.10
96160 21 16 $10.90
G0008 Administration of influenza virus vaccine 13 13 $0.00