Citizens Memorial Healthcare
Citizens Memorial Healthcare was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
BOLIVAR, MO 65613
Next to other Primary Care Clinic/Center providers in Missouri
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,917 | $308K | |
| 2019 | 2,662 | $273K | |
| 2020 | 2,222 | $201K | |
| 2021 | 2,140 | $150K | |
| 2022 | 2,294 | $176K | |
| 2023 | 1,922 | $142K | |
| 2024incomplete | 1,800 | $134K |
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 | 43% | 5,608 | 4,950 | $595K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,402 | 2,887 | $265K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 2,115 | 1,461 | $246K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 13% | 3,980 | 3,486 | $184K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.9% | 138 | 133 | $40K |
| 99310 | Prolong nursin fac eval 15m | 1.4% | 251 | 244 | $19K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 109 | 84 | $16K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 43 | 40 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 93 | 63 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 119 | 95 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | 37 | $2K |
| 99305 | <1% | 15 | 13 | $975.77 |
3 more codes
| 99318 | <1% | 13 | $440.53 | |
| 99497 | <1% | 16 | $271.80 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 12 | $119.26 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.