Clinic
Southeast Missouri Health Network
Southeast Missouri Health Network was paid $564K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSOUTHEAST MISSOURI HEALTH NETWORK
NEW MADRID, MO 63869
NEW MADRID, MO 63869
33aNPI1609095975assigned 04/25/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$564K
24GClaims12,555
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#66 of 215
Median peer was paid$208K
This provider vs. median2.7×
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.
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 | 1,326 | $81K | |
| 2019 | 1,326 | $74K | |
| 2020 | 1,354 | $72K | |
| 2021 | 1,478 | $68K | |
| 2022 | 1,855 | $80K | |
| 2023 | 2,013 | $66K | |
| 2024incomplete | 3,203 | $123K |
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 | 49% | 3,144 | 2,709 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,105 | 1,806 | $155K |
| 80053 | Comprehensive metabolic panel | 6.2% | 938 | 888 | $35K |
| G0467 | Community health center visit, returning patientFederally 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 | 6.0% | 1,213 | 1,103 | $34K |
| 80061 | Lipid panel | 3.1% | 552 | 533 | $18K |
| 85027 | 2.4% | 626 | 588 | $14K | |
| 84443 | Thyroid stimulating hormone (TSH) | 2.3% | 413 | 403 | $13K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.7% | 192 | 187 | $9K |
| 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 | 1.3% | 572 | 545 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | 14 | $517.16 |
| 82947 | <1% | 31 | 26 | $267.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 172 | 146 | $11.13 |
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 officialDEANE, SARA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southeast Missouri Health Network | Sikeston, MO | $843K |
| Southeast Missouri Health Network | Kennett, MO | $710K |
| Southeast Missouri Health Network | Bernie, MO | $394K |
| Southeast Missouri Health Network | Benton, MO | $271K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.