SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC

NPI: 1679820286 · BERNIE, MO 63822 · Family Medicine Physician · NPI assigned 08/14/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BERRY, KRISTA controls 13+ related entities in our dataset. Read more

$128K

Total Medicaid Paid

1,898

Total Claims

1,617

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	BERRY, KRISTA (CFO)
NPI Enumeration Date	08/14/2012

Other providers sharing the same authorized official: BERRY, KRISTA

Provider	City	State	Total Paid
SOUTHEAST HOSPITAL	CAPE GIRARDEAU	MO	$34.71M
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC	DEXTER	MO	$8.37M
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC	CAPE GIRARDEAU	MO	$6.55M
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC	DEXTER	MO	$1.55M
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC	CAPE GIRARDEAU	MO	$1.11M
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC	DEXTER	MO	$886K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC	POPLAR BLUFF	MO	$813K
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC	CAPE GIRARDEAU	MO	$640K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC	DEXTER	MO	$556K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC	MALDEN	MO	$296K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC	BLOOMFIELD	MO	$29K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC	NEW MADRID	MO	$4K
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC	SIKESTON	MO	$4K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,266	1,061	$89K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	632	556	$40K