Clinic
Fairview Heights Medical Group SC
Fairview Heights Medical Group SC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoFAIRVIEW HEIGHTS MEDICAL GROUP SC
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1679503668assigned 07/04/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$1.34M
24GClaims43,316
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Missouri
Rank by total paid#2 of 10
Median peer was paid$50K
This provider vs. median27×
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 | 2,487 | $58K | |
| 2019 | 4,508 | $92K | |
| 2020 | 5,960 | $103K | |
| 2021 | 7,548 | $146K | |
| 2022 | 7,899 | $256K | |
| 2023 | 9,098 | $393K | |
| 2024incomplete | 5,816 | $295K |
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 | 43% | 10,525 | 9,836 | $576K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 4,663 | 2,463 | $146K |
| 99254 | 9.0% | 796 | 766 | $121K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 1,809 | 1,688 | $113K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.4% | 2,035 | 1,949 | $87K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.2% | 12,393 | 11,396 | $56K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.9% | 352 | 303 | $52K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.7% | 2,719 | 1,396 | $50K |
| 99255 | 2.6% | 327 | 288 | $35K | |
| 99421 | 1.4% | 1,240 | 1,199 | $19K | |
| 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 | 1.4% | 210 | 203 | $19K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 166 | 159 | $16K |
15 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 383 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 29 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,102 | $11K |
| 95816 | <1% | 258 | $7K | |
| 82962 | <1% | 2,953 | $5K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 27 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $2K |
| 95251 | <1% | 25 | $586.35 | |
| 93298 | <1% | 26 | $415.18 | |
| 83037 | <1% | 78 | $297.29 | |
| 93016 | <1% | 16 | $236.96 | |
| 93018 | <1% | 16 | $233.34 | |
| 93356 | <1% | 13 | $222.63 | |
| 93000 | <1% | 12 | $167.48 | |
| 3008F | 0% | 83 | $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.
From NPPES
Who's on the registration
Authorized officialCANTER-KOESTER, KAREN (VP OPERATIONS AND STRATEGY)
| Provider | Location | Paid |
|---|---|---|
| Physician Groups LC | Saint Louis, MO | $9.80M |
| Physician Groups LC | Farmington, MO | $4.17M |
| Physician Groups LC | Centralia, MO | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.