Lake Regional Medical Management, INC.
Lake Regional Medical Management, INC. was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
OSAGE BEACH, MO 65065
Next to other Clinic/Center providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,548 | $115K | |
| 2019 | 3,533 | $107K | |
| 2020 | 3,714 | $148K | |
| 2021 | 8,447 | $275K | |
| 2022 | 12,226 | $439K | |
| 2023 | 13,758 | $585K | |
| 2024incomplete | 7,998 | $464K |
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% | 18,694 | 15,232 | $654K |
| 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 | 28% | 12,641 | 10,654 | $596K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 5,705 | 4,880 | $241K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 2,620 | 2,269 | $167K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.4% | 1,106 | 944 | $157K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 544 | 499 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,080 | 894 | $29K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.3% | 204 | 193 | $28K |
| 95886 | 1.0% | 457 | 424 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 157 | 133 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 463 | 407 | $14K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 49 | 46 | $14K |
44 more codes
| 95811 | <1% | 143 | $13K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 385 | $12K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 351 | $10K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 116 | $9K |
| 93016 | <1% | 901 | $9K | |
| 92567 | <1% | 727 | $8K | |
| 93018 | <1% | 879 | $8K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 29 | $7K |
| 90961 | <1% | 153 | $7K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 268 | $7K |
| 92550 | <1% | 382 | $6K | |
| 93000 | <1% | 612 | $6K | |
| 94060 | <1% | 734 | $5K | |
| 94726 | <1% | 750 | $5K | |
| 51798 | <1% | 454 | $4K | |
| 94729 | <1% | 716 | $3K | |
| 20610 | <1% | 93 | $3K | |
| 95911 | <1% | 33 | $3K | |
| 92555 | <1% | 138 | $2K | |
| 92557 | <1% | 93 | $2K | |
| 69210 | <1% | 106 | $2K | |
| 93880 | <1% | 92 | $2K | |
| 43235 | <1% | 17 | $2K | |
| 11721 | <1% | 242 | $1K | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 26 | $1K |
| 92582 | <1% | 12 | $884.32 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | $861.24 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 36 | $748.15 |
| 99152 | <1% | 34 | $647.75 | |
| 81003 | <1% | 606 | $480.49 | |
| 90962 | <1% | 19 | $385.89 | |
| 92579 | <1% | 12 | $267.80 | |
| 99406 | <1% | 25 | $244.31 | |
| 99407 | <1% | 27 | $159.21 | |
| 93294 | <1% | 12 | $153.93 | |
| 3074F | <1% | 565 | $50.00 | |
| 99091 | <1% | 12 | $44.77 | |
| 99490 | Ccm add 20min | <1% | 13 | $9.82 |
| 3078F | 0% | 499 | $0.00 | |
| 1160F | 0% | 13 | $0.00 | |
| 1126F | 0% | 80 | $0.00 | |
| 3079F | 0% | 38 | $0.00 | |
| 99024 | 0% | 24 | $0.00 | |
| 1125F | 0% | 16 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lake Regional Health System | Osage Beach, MO | $23.69M |
| Lake Regional Health System | Eldon, MO | $1.85M |
| Lake Regional Health System | Osage Beach, MO | $1.49M |
| Lake Regional Health System | Camdenton, MO | $1.36M |
| Lake Regional Health System | Osage Beach, MO | $1.03M |
| Lake Regional Health System | Lake Ozark, MO | $798K |
| Lake Regional Health System | Laurie, MO | $244K |
| Lake Regional Health System | Lebanon, MO | $209K |
| Lake Regional Health System | Iberia, MO | $113K |
| Lake Regional Health System | Osage Beach, MO | $77K |
| Lake Regional Health System | Camdenton, MO | $62K |
| Lake Regional Health System | Osage Beach, MO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.