NPI: 1619245503 · CAPE GIRARDEAU, MO 63703 · Rural Health Clinic/Center · NPI assigned 12/06/2011
Authorized official BERRY, KRISTA controls 13+ related entities in our dataset. Read more
| Authorized Official | BERRY, KRISTA (CFO) |
| Parent Organization | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| NPI Enumeration Date | 12/06/2011 |
Other providers sharing the same authorized official: BERRY, KRISTA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHEAST HOSPITAL | CAPE GIRARDEAU | MO | $34.71M |
| SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC | DEXTER | MO | $8.37M |
| SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC | CAPE GIRARDEAU | MO | $6.55M |
| SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC | DEXTER | MO | $1.55M |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,889 | $267K |
| 2019 | 5,913 | $607K |
| 2020 | 2,261 | $236K |
| 2021 | 16 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,619 | 6,188 | $557K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,518 | 1,400 | $182K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,509 | 1,431 | $182K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,081 | 1,060 | $154K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 157 | 152 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 103 | 101 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20 | 18 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 34 | 34 | $510.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 24 | 24 | $365.52 |
| 87807 | 14 | 14 | $171.50 |