Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Semo Pathology Group

Semo Pathology Group was paid $46K by Medicaid between Jan 2018 and Sep 2021, across 9 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 69% of everything it billed.

33Billing provider infoSEMO PATHOLOGY GROUP
SIKESTON, MO 63801
33aNPI1790703577assigned 07/18/2006
28Total paid$46K
24GClaims3,693
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Missouri

Rank by total paid#26 of 103
Median peer was paid$15K
This provider vs. median3.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
20181,007$10K
20191,032$10K
2020942$12K
2021712$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 69% 1,073 992 $32K
88307 16% 201 172 $7K
88342 13% 299 285 $6K
88304 1.5% 129 119 $684.59
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 74 70 $156.00
80053 Comprehensive metabolic panel 0% 354 318 $0.00
81015 0% 362 337 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 761 656 $0.00
87070 0% 440 404 $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 officialJAMES, BIRGIT (HR DIRECTOR)
Same official

Other billing entities under JAMES, BIRGIT

Full network →
ProviderLocationPaid
Brazos Valley Pathology, PLLCBryan, TX$122K
Johnny L. HaleyPalestine, TX$525.66

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.