Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LAKE REGIONAL MEDICAL MANAGEMENT, INC.

NPI: 1639134158 · OSAGE BEACH, MO 65065 · Clinic/Center · NPI assigned 04/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCROBERTS, KEVIN controls 12+ related entities in our dataset. Read more

$2.13M
Total Medicaid Paid
54,224
Total Claims
45,672
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCROBERTS, KEVIN (CEO)
NPI Enumeration Date04/18/2006

Related Entities

Other providers sharing the same authorized official: MCROBERTS, KEVIN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,998 $464K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,694 15,232 $654K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,641 10,654 $596K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,705 4,880 $241K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,620 2,269 $167K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,106 944 $157K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 544 499 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,080 894 $29K
95810 Polysomnography; sleep staging with 4 or more additional parameters 204 193 $28K
95886 457 424 $22K
99215 Prolong outpt/office vis 157 133 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 463 407 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 46 $14K
95811 143 130 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 385 349 $12K
99232 Subsequent hospital care, per day, moderate complexity 351 138 $10K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 116 95 $9K
93016 901 809 $9K
92567 727 685 $8K
93018 879 794 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 29 25 $7K
90961 153 117 $7K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 268 116 $7K
92550 382 364 $6K
93000 612 533 $6K
94060 734 692 $5K
94726 750 704 $5K
51798 454 385 $4K
94729 716 679 $3K
20610 93 79 $3K
95911 33 30 $3K
92555 138 129 $2K
92557 93 87 $2K
69210 106 79 $2K
93880 92 79 $2K
43235 17 16 $2K
11721 242 195 $1K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 26 25 $1K
92582 12 12 $884.32
99222 Initial hospital care, per day, moderate complexity 21 15 $861.24
99231 Subsequent hospital care, per day, straightforward or low complexity 36 12 $748.15
99152 34 24 $647.75
81003 606 434 $480.49
90962 19 13 $385.89
92579 12 12 $267.80
99406 25 25 $244.31
99407 27 25 $159.21
93294 12 12 $153.93
3074F 565 535 $50.00
99091 12 12 $44.77
99490 Ccm add 20min 13 12 $9.82
3078F 499 468 $0.00
1160F 13 13 $0.00
1126F 80 76 $0.00
3079F 38 37 $0.00
99024 24 12 $0.00
1125F 16 14 $0.00