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SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI: 1801990825
· DEXTER, MO 63841
· 282N00000X
$8.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20,192 |
$1.22M |
| 2019 |
26,783 |
$1.81M |
| 2020 |
21,594 |
$1.18M |
| 2021 |
21,600 |
$390K |
| 2022 |
34,436 |
$1.26M |
| 2023 |
33,791 |
$1.29M |
| 2024 |
29,278 |
$1.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,832 |
12,101 |
$1.57M |
| 99284 |
|
9,163 |
7,084 |
$1.22M |
| 99285 |
|
4,268 |
3,104 |
$789K |
| X4011 |
|
5,377 |
4,525 |
$675K |
| 80053 |
|
14,370 |
11,607 |
$383K |
| 85025 |
|
17,341 |
13,892 |
$367K |
| 81001 |
|
9,807 |
8,006 |
$290K |
| 99282 |
|
3,916 |
2,998 |
$277K |
| 93005 |
|
5,616 |
4,477 |
$242K |
| 87635 |
|
8,112 |
6,502 |
$207K |
| 87400 |
|
4,384 |
3,829 |
$187K |
| 71045 |
|
3,773 |
3,012 |
$159K |
| 96374 |
|
2,654 |
1,992 |
$152K |
| 87430 |
|
1,170 |
1,113 |
$144K |
| 87502 |
|
2,484 |
2,383 |
$139K |
| 36415 |
|
14,786 |
10,967 |
$139K |
| Y7506 |
|
771 |
495 |
$105K |
| 82550 |
|
4,513 |
3,453 |
$97K |
| 71046 |
|
824 |
760 |
$76K |
| 87086 |
|
1,262 |
1,113 |
$75K |
| 81025 |
|
1,791 |
1,512 |
$72K |
| 84443 |
|
2,271 |
1,942 |
$68K |
| 70450 |
|
1,271 |
1,032 |
$67K |
| G0480 |
Drug test def 1-7 classes |
1,265 |
888 |
$63K |
| 84484 |
|
4,232 |
3,065 |
$63K |
| 74177 |
|
502 |
388 |
$60K |
| 80307 |
|
521 |
451 |
$51K |
| 96372 |
|
1,379 |
1,075 |
$49K |
| 96413 |
|
448 |
200 |
$43K |
| 86756 |
|
287 |
269 |
$41K |
| 87651 |
|
1,835 |
1,784 |
$39K |
| 82553 |
|
1,440 |
1,167 |
$36K |
| G0463 |
Hospital outpt clinic visit |
1,345 |
1,098 |
$36K |
| 87880 |
|
2,350 |
2,174 |
$34K |
| 86141 |
|
1,488 |
1,213 |
$30K |
| 83880 |
|
1,296 |
1,043 |
$29K |
| 87040 |
|
1,096 |
687 |
$27K |
| 80306 |
|
2,677 |
1,892 |
$26K |
| 83605 |
|
1,067 |
847 |
$22K |
| 96375 |
|
547 |
399 |
$21K |
| 87634 |
|
349 |
337 |
$14K |
| 80048 |
|
2,689 |
1,950 |
$12K |
| 83690 |
|
2,217 |
1,613 |
$11K |
| 80061 |
|
1,088 |
968 |
$10K |
| 84145 |
|
452 |
386 |
$10K |
| 85027 |
|
619 |
431 |
$9K |
| 85610 |
|
633 |
511 |
$8K |
| 83735 |
|
2,790 |
2,092 |
$8K |
| 85730 |
|
608 |
488 |
$8K |
| 82803 |
|
193 |
154 |
$8K |
| 80143 |
|
891 |
638 |
$7K |
| 80179 |
|
841 |
609 |
$7K |
| 71250 |
|
318 |
264 |
$7K |
| 85007 |
|
641 |
459 |
$7K |
| 82375 |
|
179 |
141 |
$7K |
| 80076 |
|
2,264 |
1,659 |
$7K |
| 72125 |
|
141 |
113 |
$6K |
| 74176 |
|
104 |
87 |
$6K |
| 87077 |
|
63 |
53 |
$4K |
| 82150 |
|
116 |
88 |
$4K |
| 84100 |
|
2,159 |
1,598 |
$4K |
| 36591 |
|
166 |
78 |
$4K |
| 83036 |
|
564 |
506 |
$4K |
| 87633 |
|
16 |
14 |
$4K |
| 87581 |
|
17 |
15 |
$3K |
| 87486 |
|
17 |
15 |
$3K |
| 87798 |
|
17 |
15 |
$3K |
| 82306 |
|
156 |
131 |
$3K |
| 87807 |
|
262 |
239 |
$3K |
| 99291 |
|
16 |
14 |
$3K |
| 87186 |
|
48 |
39 |
$3K |
| 86677 |
|
13 |
13 |
$2K |
| 96360 |
|
50 |
40 |
$1K |
| 82607 |
|
99 |
88 |
$1K |
| 94640 |
|
34 |
25 |
$1K |
| 87187 |
|
15 |
12 |
$1K |
| 99281 |
|
41 |
40 |
$1K |
| 84550 |
|
294 |
252 |
$987.25 |
| J3490 |
Drugs unclassified injection |
4,989 |
3,257 |
$915.12 |
| 82728 |
|
106 |
99 |
$641.25 |
| 83655 |
|
90 |
82 |
$588.60 |
| 83615 |
|
32 |
31 |
$430.43 |
| U0002 |
Covid-19 lab test non-cdc |
143 |
134 |
$357.00 |
| 36600 |
|
15 |
13 |
$254.03 |
| 84439 |
|
19 |
14 |
$103.80 |
| 83540 |
|
14 |
12 |
$61.29 |
| 81003 |
|
41 |
37 |
$59.02 |
| J7050 |
Normal saline solution infus |
1,358 |
840 |
$0.00 |
| 80050 |
|
32 |
24 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
95 |
66 |
$0.00 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
16 |
12 |
$0.00 |