Physician
Heartland Regional Medical Center
Heartland Regional Medical Center was paid $20.43M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoHEARTLAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MO 64506
SAINT JOSEPH, MO 64506
33aNPI1538200357assigned 02/12/2007
33bProvider typeNeurological Surgery Physician
28Total paid$20.43M
24GClaims422,210
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Missouri
Rank by total paid#1 of 21
Median peer was paid$5K
This provider vs. median4,397×
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.
Entity ProliferationAuthorized official CARVELL, DWIGHT controls 12+ related entities in our dataset. Read more
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 | 25,504 | $1.10M | |
| 2019 | 23,618 | $1.14M | |
| 2020 | 24,912 | $822K | |
| 2021 | 44,610 | $1.61M | |
| 2022 | 91,271 | $4.57M | |
| 2023 | 119,441 | $6.09M | |
| 2024incomplete | 92,854 | $5.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 91,046 | 79,486 | $5.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 84,417 | 75,236 | $4.42M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.3% | 61,483 | 19,421 | $1.89M |
| X4003 | 7.3% | 24,739 | 21,708 | $1.48M | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.2% | 15,945 | 15,068 | $1.27M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.2% | 13,195 | 12,525 | $1.26M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 12,516 | 11,894 | $604K |
| 99223 | Prolong inpt eval add15 m | 2.4% | 6,359 | 5,553 | $497K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 3,807 | 3,291 | $359K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 7,517 | 3,073 | $349K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 6,499 | 5,892 | $338K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 3,365 | 3,125 | $248K |
129 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 5,498 | $188K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,326 | $178K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,075 | $168K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,610 | $153K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,394 | $147K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 4,499 | $142K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,916 | $130K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,919 | $108K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,528 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,465 | $81K |
| 99255 | <1% | 651 | $74K | |
| 81003 | <1% | 1,122 | $70K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16,598 | $66K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 431 | $66K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,285 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 611 | $48K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 602 | $45K |
| 90870 | <1% | 542 | $41K | |
| 92551 | <1% | 1,267 | $38K | |
| 92567 | <1% | 1,238 | $37K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,833 | $35K |
| 59025 | Fetal non-stress test | <1% | 1,702 | $33K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,786 | $32K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 271 | $31K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 629 | $29K |
| 90723 | <1% | 1,032 | $21K | |
| 87081 | <1% | 246 | $20K | |
| 11721 | <1% | 4,087 | $19K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 673 | $19K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 193 | $19K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 112 | $18K |
| 98943 | <1% | 1,227 | $17K | |
| 90686 | <1% | 2,637 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 202 | $17K |
| 88307 | <1% | 283 | $16K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 447 | $14K |
| 88312 | <1% | 625 | $12K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 195 | $12K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 293 | $11K |
| 90670 | <1% | 1,646 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 232 | $10K |
| 99254 | <1% | 93 | $10K | |
| 90837 | Psychotherapy session, about an hour | <1% | 100 | $9K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 242 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 96 | $8K |
| 99220 | <1% | 155 | $8K | |
| 88342 | <1% | 297 | $7K | |
| 97597 | <1% | 255 | $7K | |
| 76820 | <1% | 376 | $7K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 266 | $7K |
| 11730 | <1% | 97 | $6K | |
| 90647 | <1% | 866 | $6K | |
| 59430 | <1% | 26 | $5K | |
| 95811 | <1% | 76 | $5K | |
| 88304 | <1% | 625 | $5K | |
| 99460 | <1% | 72 | $5K | |
| 99221 | <1% | 113 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,596 | $5K |
| 69210 | <1% | 350 | $5K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 29 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 72 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 1,929 | $4K |
| 90680 | <1% | 560 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $3K |
| 99243 | <1% | 29 | $3K | |
| 95251 | <1% | 193 | $3K | |
| 95886 | <1% | 126 | $3K | |
| 90656 | <1% | 365 | $3K | |
| 90677 | <1% | 348 | $3K | |
| 64615 | <1% | 48 | $3K | |
| 90633 | <1% | 385 | $3K | |
| 85060 | <1% | 185 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $2K |
| 99304 | <1% | 46 | $2K | |
| 88341 | <1% | 34 | $2K | |
| 97032 | <1% | 224 | $2K | |
| Y7506 | <1% | 12 | $2K | |
| 99307 | <1% | 110 | $2K | |
| 93294 | <1% | 143 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 719 | $1K |
| 88108 | <1% | 123 | $1K | |
| 99217 | <1% | 92 | $1K | |
| 99305 | <1% | 26 | $1K | |
| 95816 | <1% | 27 | $815.50 | |
| 93295 | <1% | 54 | $797.52 | |
| 62323 | <1% | 13 | $773.37 | |
| 20611 | <1% | 13 | $734.96 | |
| 93922 | <1% | 125 | $730.34 | |
| 93018 | <1% | 80 | $668.28 | |
| 90734 | <1% | 77 | $583.40 | |
| 92557 | <1% | 25 | $476.52 | |
| 00731 | <1% | 27 | $465.99 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $435.96 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 187 | $433.38 |
| 99443 | <1% | 113 | $430.07 | |
| 64644 | <1% | 14 | $417.28 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $417.27 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $383.24 |
| 93880 | <1% | 12 | $365.32 | |
| 93926 | <1% | 27 | $363.68 | |
| 93016 | <1% | 39 | $349.20 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $348.72 |
| 90651 | <1% | 44 | $338.94 | |
| 90681 | <1% | 41 | $330.87 | |
| 64643 | <1% | 13 | $305.65 | |
| 94060 | <1% | 52 | $296.59 | |
| 93298 | <1% | 24 | $258.77 | |
| 90715 | <1% | 12 | $252.00 | |
| 90707 | <1% | 12 | $247.05 | |
| 99152 | <1% | 19 | $241.87 | |
| 90672 | <1% | 28 | $215.08 | |
| 93227 | <1% | 13 | $206.70 | |
| 99225 | <1% | 18 | $168.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $119.10 |
| 82607 | <1% | 21 | $116.76 | |
| 93296 | <1% | 12 | $103.14 | |
| 90716 | <1% | 12 | $94.12 | |
| 82746 | <1% | 20 | $90.88 | |
| 82728 | <1% | 23 | $84.25 | |
| 90648 | <1% | 15 | $80.25 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $56.50 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 19 | $48.40 |
| 94729 | <1% | 13 | $39.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,160 | $26.40 |
| 85045 | <1% | 20 | $24.68 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 41 | $0.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 18 | $0.00 |
| G9920 | Screening performed and negative | 0% | 249 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 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 officialCARVELL, DWIGHT (DIRECTOR OF REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Mosaic Medical Center - Maryville | Maryville, MO | $622K |
| Mosaic Medical Center - Maryville | Maryville, MO | $585K |
| Mosaic Medical Center - Maryville | Maryville, MO | $455K |
| Northwest Medical Center Association INC | Albany, MO | $276K |
| Mosaic Medical Center - Maryville | Maryville, MO | $189K |
| Northwest Medical Center Association, INC. | Albany, MO | $159K |
| Northwest Medical Center Association, INC | New Hampton, MO | $94K |
| Northwest Medical Center Association, INC | Stanberry, MO | $91K |
| Mosaic Medical Center - Maryville | Bedford, IA | $68K |
| Mosaic Medical Center - Maryville | Savannah, MO | $55K |
| Northwest Medical Center Association, INC | Grant City, MO | $49K |
| Northwest Medical Center Association INC | Albany, MO | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.