Medicaid Provider Spending

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

SOUTHEAST MISSOURI HEALTH NETWORK

NPI: 1649697566 · CARUTHERSVILLE, MO 63830 · Federally Qualified Health Center (FQHC) · NPI assigned 03/28/2014

$25K
Total Medicaid Paid
337
Total Claims
309
Beneficiaries
5
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEANE, SARAH (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date03/28/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 337 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 241 215 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 44 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 13 $919.68
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25 25 $886.56
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $308.77