Clinic
Jefferson Medical Group
Jefferson Medical Group was paid $1.46M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoJEFFERSON MEDICAL GROUP
CARROLLTON, MO 64633
CARROLLTON, MO 64633
33aNPI1619276367assigned 03/21/2011
33bProvider typeRural Health Clinic/Center
28Total paid$1.46M
24GClaims27,274
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Missouri
Rank by total paid#28 of 227
Median peer was paid$306K
This provider vs. median4.8×
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 | 4,884 | $292K | |
| 2019 | 4,538 | $303K | |
| 2020 | 2,927 | $195K | |
| 2021 | 3,215 | $135K | |
| 2022 | 3,917 | $172K | |
| 2023 | 4,183 | $199K | |
| 2024incomplete | 3,610 | $169K |
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 | 62% | 13,748 | 11,026 | $902K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 5,352 | 4,709 | $156K |
| 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 | 10% | 1,516 | 1,138 | $148K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.3% | 4,086 | 3,365 | $137K |
| 99334 | 2.6% | 681 | 626 | $39K | |
| 99348 | 2.0% | 516 | 412 | $29K | |
| 99349 | 1.7% | 351 | 267 | $25K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 627 | 567 | $12K |
| 99307 | <1% | 173 | 141 | $4K | |
| 99318 | <1% | 81 | 77 | $4K | |
| 99347 | <1% | 58 | 50 | $4K | |
| 99325 | <1% | 29 | 26 | $3K |
3 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $1K |
| 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% | 14 | $270.95 |
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 officialIRELAND, AMY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Carroll County Memorial Hospital | Carrollton, MO | $1.24M |
| Carroll County Hospital Phtysicians | Carrollton, MO | $251K |
| Jefferson Medical Group | Carrollton, MO | $91K |
| Jefferson Medical Group | Hale, MO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.