Medicaid Provider Spending

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

SOUTHEAST MISSOURI HEALTH NETWORK

NPI: 1497035661 · BENTON, MO 63736 · Federally Qualified Health Center (FQHC) · NPI assigned 08/19/2011

$271K
Total Medicaid Paid
4,906
Total Claims
4,208
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDEANE, SARA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/19/2011

Related Entities

Other providers sharing the same authorized official: DEANE, SARA

ProviderCityStateTotal Paid
SOUTHEAST MISSOURI HEALTH NETWORK SIKESTON MO $843K
SOUTHEAST MISSOURI HEALTH NETWORK KENNETT MO $710K
SOUTHEAST MISSOURI HEALTH NETWORK NEW MADRID MO $564K
SOUTHEAST MISSOURI HEALTH NETWORK BERNIE MO $394K
SOUTHEAST MISSOURI HEALTH NETWORK BERNIE MO $227K
SOUTHEAST MISSOURI HEALTH NETWORK SIKESTON MO $11K
SOUTHEAST MISSOURI HEALTH NETWORK SIKESTON MO $10K
SOUTHEAST MISSOURI HEALTH NETWORK EAST PRAIRIE MO $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156 $10K
2019 133 $10K
2020 1,012 $52K
2021 942 $56K
2022 808 $52K
2023 668 $41K
2024 1,187 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,181 1,857 $233K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 266 237 $20K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 493 460 $14K
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 174 164 $2K
82947 195 173 $2K
83036 Hemoglobin; glycosylated (A1C) 53 52 $778.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 46 23 $278.90
36415 Collection of venous blood by venipuncture 16 12 $14.27
3078F 210 172 $0.00
3008F 1,000 835 $0.00
3074F 257 209 $0.00
3079F 15 14 $0.00