Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT JOSEPH › HEARTLAND REGIONAL MEDICAL CENTER

HEARTLAND REGIONAL MEDICAL CENTER

NPI: 1538200357 · SAINT JOSEPH, MO 64506 · Neurological Surgery Physician · NPI assigned 02/12/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARVELL, DWIGHT controls 12+ related entities in our dataset. Read more

$20.43M
Total Medicaid Paid
422,210
Total Claims
331,594
Beneficiaries
141
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARVELL, DWIGHT (DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: CARVELL, DWIGHT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 92,854 $5.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91,046 79,486 $5.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 84,417 75,236 $4.42M
99232 Subsequent hospital care, per day, moderate complexity 61,483 19,421 $1.89M
X4003 24,739 21,708 $1.48M
99284 Emergency department visit for the evaluation and management, high severity 15,945 15,068 $1.27M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,195 12,525 $1.26M
99283 Emergency department visit for the evaluation and management, moderate severity 12,516 11,894 $604K
99223 Prolong inpt eval add15 m 6,359 5,553 $497K
90792 Psychiatric diagnostic evaluation with medical services 3,807 3,291 $359K
99233 Prolong inpt eval add15 m 7,517 3,073 $349K
99239 Hospital discharge day management, more than 30 minutes 6,499 5,892 $338K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,365 3,125 $248K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,498 5,222 $188K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,326 2,291 $178K
99244 Office or other outpatient consultation, moderate to high complexity 1,075 1,052 $168K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,610 1,474 $153K
99215 Prolong outpt/office vis 1,394 1,230 $147K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,499 3,982 $142K
90834 Psychotherapy, 45 minutes with patient 2,916 1,437 $130K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,919 1,741 $108K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,528 2,100 $92K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,465 3,147 $81K
99255 651 554 $74K
81003 1,122 858 $70K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16,598 13,535 $66K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 431 396 $66K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,285 1,879 $58K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 611 603 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 602 587 $45K
90870 542 258 $41K
92551 1,267 1,255 $38K
92567 1,238 1,156 $37K
99308 Subsequent nursing facility care, per day, straightforward 1,833 1,478 $35K
59025 Fetal non-stress test 1,702 1,442 $33K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,786 956 $32K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 271 102 $31K
99222 Initial hospital care, per day, moderate complexity 629 392 $29K
90723 1,032 1,024 $21K
87081 246 244 $20K
11721 4,087 3,623 $19K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 673 632 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 193 190 $19K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 112 111 $18K
98943 1,227 631 $17K
90686 2,637 2,628 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 202 198 $17K
88307 283 246 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity 447 426 $14K
88312 625 580 $12K
00170 Anesthesia for intraoral procedures, including biopsy 195 181 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 293 229 $11K
90670 1,646 1,635 $10K
99238 Hospital discharge day management, 30 minutes or less 232 216 $10K
99254 93 82 $10K
90837 Psychotherapy, 53 minutes with patient 100 64 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 242 237 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 96 81 $8K
99220 155 118 $8K
88342 297 272 $7K
97597 255 185 $7K
76820 376 358 $7K
90935 Hemodialysis procedure with single evaluation by a physician 266 111 $7K
11730 97 78 $6K
90647 866 864 $6K
59430 26 26 $5K
95811 76 69 $5K
88304 625 581 $5K
99460 72 69 $5K
99221 113 108 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,596 2,525 $5K
69210 350 302 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 29 27 $4K
90832 Psychotherapy, 30 minutes with patient 72 54 $4K
80053 Comprehensive metabolic panel 1,929 1,388 $4K
90680 560 554 $3K
90791 Psychiatric diagnostic evaluation 27 25 $3K
99243 29 27 $3K
95251 193 177 $3K
95886 126 78 $3K
90656 365 365 $3K
90677 348 348 $3K
64615 48 40 $3K
90633 385 382 $3K
85060 185 157 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $2K
99304 46 44 $2K
88341 34 28 $2K
97032 224 112 $2K
Y7506 12 12 $2K
99307 110 108 $2K
93294 143 122 $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) 719 632 $1K
88108 123 93 $1K
99217 92 73 $1K
99305 26 26 $1K
95816 27 25 $815.50
93295 54 50 $797.52
62323 13 12 $773.37
20611 13 12 $734.96
93922 125 106 $730.34
93018 80 74 $668.28
90734 77 77 $583.40
92557 25 24 $476.52
00731 27 25 $465.99
99417 Prolong home eval add 15m 14 13 $435.96
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 187 184 $433.38
99443 113 65 $430.07
64644 14 13 $417.28
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $417.27
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 12 $383.24
93880 12 12 $365.32
93926 27 25 $363.68
93016 39 36 $349.20
99310 Prolong nursin fac eval 15m 15 14 $348.72
90651 44 43 $338.94
90681 41 41 $330.87
64643 13 13 $305.65
94060 52 50 $296.59
93298 24 24 $258.77
90715 12 12 $252.00
90707 12 12 $247.05
99152 19 15 $241.87
90672 28 28 $215.08
93227 13 13 $206.70
99225 18 12 $168.58
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 26 $119.10
82607 21 19 $116.76
93296 12 12 $103.14
90716 12 12 $94.12
82746 20 18 $90.88
82728 23 20 $84.25
90648 15 15 $80.25
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $56.50
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 19 13 $48.40
94729 13 12 $39.12
36415 Collection of venous blood by venipuncture 1,160 852 $26.40
85045 20 17 $24.68
G8754 Most recent diastolic blood pressure < 90 mmhg 41 39 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18 17 $0.00
G9920 Screening performed and negative 249 233 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00