Capital Region Medical Center

Capital Region Medical Center was paid $70K by Medicaid between Jan 2018 and Dec 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoCAPITAL REGION MEDICAL CENTER
JEFFERSON CITY, MO 65109

33aNPI1659973857assigned 11/12/2020

33bProvider typeCardiovascular Disease Physician

28Total paid$70K

24GClaims1,884

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in Missouri

Rank by total paid#32 of 150

Median peer was paid$4K

This provider vs. median16×

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	368	$5K
2019	145	$4K
2020	30	$741.49
2021	193	$7K
2022	469	$22K
2023	679	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	50%	833	777	$35K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	39%	562	535	$27K
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	6.2%	47	46	$4K
93000		1.7%	91	84	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	32	25	$680.75
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	201	182	$677.13
93016		<1%	47	47	$604.81
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	43	25	$483.68
93018		<1%	28	27	$311.17

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 officialGREEN, MARSHA (CLINIC ANALYST)