Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

NPI: 1720789787 · ROLLA, MO 65401 · Federally Qualified Health Center (FQHC) · NPI assigned 03/15/2023

$16K
Total Medicaid Paid
232
Total Claims
214
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSPARKS, ELIZABETH (CREDENTIALING SPECIALIST)
Parent OrganizationSOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
NPI Enumeration Date03/15/2023

Related Entities

Other providers sharing the same authorized official: SPARKS, ELIZABETH

ProviderCityStateTotal Paid
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER ROLLA MO $5.30M
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER SALEM MO $354K
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER ST. ROBERT MO $278K
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER SAINT ROBERT MO $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 232 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 204 186 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $580.71
D0220 Intraoral - periapical first radiographic image 12 12 $374.80