Clinic
Northeast Missouri Ambulatory Surgery Center LLC
Northeast Missouri Ambulatory Surgery Center LLC was paid $9K by Medicaid between Apr 2018 and Jun 2021, across 2 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 100% of everything it billed.
33Billing provider infoNORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC
HANNIBAL, MO 63401
HANNIBAL, MO 63401
33aNPI1710982699assigned 06/16/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$9K
24GClaims197
24DCodes billed2
24AFirst – last monthApr 2018 – Jun 2021
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Missouri
Rank by total paid#24 of 38
Median peer was paid$14K
This provider vs. median0.7×
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 | 100 | $5K | |
| 2019 | 83 | $5K | |
| 2021 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 100% | 26 | 24 | $9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 171 | 158 | $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 officialJOHNSON, MATTHEW (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Medical Anesthesia Group, PA | Memphis, TN | $517K |
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| Loring Hospital | Sac City, IA | $452K |
| Johnson Family Dentistry | Owensboro, KY | $73K |
| Chet Johnson Drugs, INC. | Amery, WI | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.