Physician
Regional Primary Care, INC
Regional Primary Care, INC was paid $326K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoREGIONAL PRIMARY CARE, INC
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1730173345assigned 09/09/2005
33bProvider typeInternal Medicine Physician
28Total paid$326K
24GClaims11,288
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#35 of 364
Median peer was paid$10K
This provider vs. median32×
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 | 560 | $13K | |
| 2019 | 446 | $9K | |
| 2020 | 515 | $13K | |
| 2021 | 1,598 | $42K | |
| 2022 | 1,936 | $59K | |
| 2023 | 3,087 | $112K | |
| 2024incomplete | 3,146 | $79K |
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 | 96% | 7,666 | 5,889 | $311K |
| 99307 | 1.6% | 1,081 | 1,002 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 136 | 110 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 814 | 670 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | 12 | $530.99 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 186 | 153 | $420.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,164 | 942 | $311.37 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 73 | 62 | $210.71 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 44 | 37 | $187.51 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 40 | 25 | $42.17 |
| 83718 | <1% | 13 | 13 | $6.55 | |
| 1159F | 0% | 18 | 12 | $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 officialGRIFFITH, SIDNEY (BOARD PRESIDENT)