Ozarks Medical Center
Ozarks Medical Center was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
WEST PLAINS, MO 65775
Next to other Rural Health 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 | 7,469 | $1.07M | |
| 2019 | 4,865 | $667K | |
| 2020 | 1,545 | $158K | |
| 2021 | 2,020 | $144K | |
| 2022 | 2,557 | $173K | |
| 2023 | 2,926 | $204K | |
| 2024incomplete | 1,833 | $142K |
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 | 41% | 10,272 | 9,200 | $1.04M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 28% | 3,680 | 2,676 | $723K |
| 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 | 25% | 7,097 | 5,871 | $635K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 342 | 316 | $48K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 362 | 328 | $43K |
| Y7506 | 1.5% | 177 | 176 | $39K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 58 | 51 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 67 | 53 | $8K |
| 99406 | <1% | 476 | 382 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 25 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 16 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | 56 | $2K |
6 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $2K |
| 1008F | <1% | 39 | $100.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 369 | $53.93 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 113 | $0.00 |
| 3078F | 0% | 16 | $0.00 | |
| 1160F | 0% | 37 | $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 |
|---|---|---|
| Ozarks Medical Center | West Plains, MO | $35.76M |
| Ozarks Medical Center | West Plains, MO | $18.49M |
| Ozarks Medical Center | Alton, MO | $1.09M |
| Ozarks Medical Center | Mt. View, MO | $817K |
| Ozarks Medical Center | Thayer, MO | $616K |
| Ozarks Medical Center | West Plains, MO | $353K |
| Ozarks Medical Center | Gainesville, MO | $306K |
| Ozarks Medical Center | West Plains, MO | $156K |
| Ozarks Medical Center | West Plains, MO | $91K |
| Ozarks Medical Center | West Plains, MO | $59K |
| Ozarks Medical Center | Mammoth Spring, AR | $56K |
| Ozarks Medical Center | West Plains, MO | $45K |
| Ozarks Medical Center | West Plains, MO | $34K |
| Ozarks Medical Center | West Plains, MO | $18K |
| Ozarks Medical Center | West Plains, MO | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.