Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Great Circle

Great Circle was paid $1.54M by Medicaid between Nov 2022 and Mar 2023, across 1 billing code. Its largest line is H2013, Psychiatric health facility service, per diem — 100% of everything it billed.

33Billing provider infoGREAT CIRCLE
COLUMBIA, MO 65201
33aNPI1528791860assigned 07/05/2022
28Total paid$1.54M
24GClaims170
24DCodes billed1
24AFirst – last monthNov 2022 – Mar 2023
Compared with peers

Next to other Psychiatric Residential Treatment Facility providers in Missouri

Rank by total paid#5 of 12
Median peer was paid$799K
This provider vs. median1.9×

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.

Single-Code Concentration100% of spending on code H2013 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
202264$502K
2023106$1.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2013 Psychiatric health facility service, per diem 100% 170 155 $1.54M

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 officialFLEMING, PAULA (PRESIDENT & CEO)
Same official

Other billing entities under FLEMING, PAULA

Full network →
ProviderLocationPaid
Great CircleSaint James, MO$4.85M
Great CircleSpringfield, MO$3.83M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.