Clinic
Jefferson Regional Outpatient Facilities, LLC
Jefferson Regional Outpatient Facilities, LLC was paid $1.22M by Medicaid between Jan 2018 and Nov 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoJEFFERSON REGIONAL OUTPATIENT FACILITIES, LLC
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1841515806assigned 04/02/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.22M
24GClaims16,997
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Urgent Care Clinic/Center providers in Missouri
Rank by total paid#11 of 37
Median peer was paid$456K
This provider vs. median2.7×
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 | 4,141 | $354K | |
| 2019 | 6,572 | $551K | |
| 2020 | 6,284 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 9,513 | 9,291 | $689K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 15% | 2,457 | 2,425 | $179K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 1,976 | 1,941 | $140K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 11% | 1,942 | 1,852 | $136K |
| 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 | 5.4% | 853 | 821 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 123 | 122 | $9K |
| 87807 | <1% | 25 | 24 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 16 | 12 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 67 | 67 | $828.01 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | 12 | $501.26 |
| 81003 | 0% | 12 | 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 officialJOHNSTON, JEFFREY (PRESIDENT)
Parent organizationMERCY HEALTH EAST COMMUNITIES
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Children's Hospitalists - ST. Louis, LLC | Saint Louis, MO | $786K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.