Physician
Southeast Missouri Hospital Physicians, LLC
Southeast Missouri Hospital Physicians, LLC was paid $6.55M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoSOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC
CAPE GIRARDEAU, MO 63701
CAPE GIRARDEAU, MO 63701
33aNPI1558311522assigned 05/11/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$6.55M
24GClaims145,901
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Missouri
Rank by total paid#1 of 150
Median peer was paid$4K
This provider vs. median1,507×
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 BERRY, KRISTA controls 13+ 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 | 12,641 | $370K | |
| 2019 | 11,345 | $375K | |
| 2020 | 11,750 | $399K | |
| 2021 | 24,249 | $855K | |
| 2022 | 29,280 | $1.38M | |
| 2023 | 33,213 | $1.90M | |
| 2024incomplete | 23,423 | $1.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 43,327 | 38,137 | $2.06M |
| 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 | 23% | 33,631 | 29,476 | $1.52M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.5% | 7,782 | 7,104 | $558K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.0% | 6,346 | 5,876 | $525K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.2% | 9,416 | 8,767 | $408K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.7% | 1,051 | 341 | $112K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,084 | 1,010 | $107K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 4,778 | 2,128 | $106K |
| 93000 | 1.4% | 11,946 | 10,620 | $93K | |
| 99243 | 1.3% | 859 | 805 | $87K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1.3% | 1,559 | 1,323 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 794 | 712 | $74K |
67 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 745 | $65K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,418 | $64K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,228 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,869 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 546 | $53K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 770 | $50K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,421 | $42K |
| 99349 | <1% | 1,391 | $41K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,303 | $40K |
| 99460 | <1% | 607 | $39K | |
| 92588 | <1% | 1,017 | $34K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 713 | $29K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 178 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 859 | $23K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 125 | $22K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 733 | $20K |
| 99307 | <1% | 1,368 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 147 | $14K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 237 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 163 | $13K |
| 92567 | <1% | 1,496 | $13K | |
| 54150 | <1% | 111 | $10K | |
| 92557 | <1% | 424 | $10K | |
| 20611 | <1% | 221 | $8K | |
| 92579 | <1% | 262 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 446 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 437 | $5K |
| 90723 | <1% | 82 | $3K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 15 | $3K |
| 95886 | <1% | 70 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 108 | $3K |
| 73030 | <1% | 196 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 225 | $2K |
| 90670 | <1% | 198 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 43235 | <1% | 13 | $2K | |
| 99462 | <1% | 59 | $1K | |
| 94729 | <1% | 74 | $1K | |
| 88307 | <1% | 16 | $1K | |
| 99348 | <1% | 67 | $1K | |
| 94726 | <1% | 73 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 200 | $889.74 |
| 00731 | <1% | 57 | $784.73 | |
| 73110 | <1% | 29 | $784.64 | |
| 90647 | <1% | 83 | $705.36 | |
| 90686 | <1% | 70 | $581.85 | |
| 99219 | <1% | 13 | $555.62 | |
| 73610 | <1% | 17 | $417.03 | |
| 88304 | <1% | 57 | $388.40 | |
| 99318 | <1% | 20 | $372.83 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 52 | $351.52 |
| 99305 | <1% | 15 | $346.60 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 14 | $231.60 |
| 94010 | <1% | 33 | $223.89 | |
| 93296 | <1% | 28 | $221.64 | |
| 93793 | <1% | 43 | $195.53 | |
| 87430 | <1% | 12 | $180.08 | |
| 83655 | <1% | 15 | $178.75 | |
| 97597 | <1% | 13 | $155.31 | |
| 94060 | <1% | 13 | $113.51 | |
| 90633 | <1% | 12 | $98.46 | |
| 81025 | <1% | 13 | $95.74 | |
| 93016 | <1% | 13 | $89.19 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $69.05 |
| 93018 | <1% | 13 | $63.92 | |
| 85018 | <1% | 16 | $37.66 | |
| 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% | 13 | $28.16 |
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 officialBERRY, KRISTA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Southeast Hospital | Cape Girardeau, MO | $34.71M |
| Southeast Health Center of Stoddard County, LLC | Dexter, MO | $8.37M |
| Southeast Health Center of Stoddard County, LLC | Dexter, MO | $1.55M |
| Southeast Missouri Hospital Physicians LLC | Cape Girardeau, MO | $1.11M |
| Southeast Health Center of Stoddard County LLC | Dexter, MO | $886K |
| Southeast Health Center of Stoddard County, LLC | Poplar Bluff, MO | $813K |
| Southeast Missouri Hospital Physicians LLC | Cape Girardeau, MO | $640K |
| Southeast Health Center of Stoddard County, LLC | Dexter, MO | $556K |
| Southeast Health Center of Stoddard County, LLC | Malden, MO | $296K |
| Southeast Health Center of Stoddard County LLC | Bernie, MO | $128K |
| Southeast Health Center of Stoddard County LLC | Bloomfield, MO | $29K |
| Southeast Health Center of Stoddard County LLC | New Madrid, MO | $4K |
| Southeast Health Center of Stoddard County LLC | Sikeston, MO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.