Citizens Memorial Healthcare
Citizens Memorial Healthcare was paid $922K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
EL DORADO SPRINGS, MO 64744
Next to other Rural Health 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 | 2,116 | $263K | |
| 2019 | 2,367 | $257K | |
| 2020 | 1,162 | $138K | |
| 2021 | 585 | $45K | |
| 2022 | 988 | $64K | |
| 2023 | 1,370 | $73K | |
| 2024incomplete | 1,275 | $81K |
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 | 52% | 4,715 | 4,214 | $483K |
| 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 | 30% | 2,161 | 1,915 | $272K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.4% | 1,613 | 1,284 | $68K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.5% | 270 | 137 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 283 | 260 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 519 | 356 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 71 | 69 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 19 | 17 | $3K |
| 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% | 144 | 142 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 17 | 12 | $2K |
| 99497 | <1% | 20 | 18 | $845.35 | |
| 99307 | <1% | 17 | 16 | $267.80 |
1 more codes
| 99498 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Citizens Memorial Hospital District | Bolivar, MO | $19.17M |
| Citizens Memorial Healthcare District | Bolivar, MO | $7.40M |
| Citizens Memorial Healthcare | Buffalo, MO | $4.66M |
| Citizens Memorial Healthcare | Bolivar, MO | $3.06M |
| Citizens Memorial Healthcare | Bolivar, MO | $2.11M |
| Citizens Memorial Healthcare | Humansville, MO | $1.93M |
| Citizens Memorial Healthcare | Bolivar, MO | $1.93M |
| Citizens Memorial Hospital District | Bolivar, MO | $1.75M |
| Citizens Memorial Healthcare | Bolivar, MO | $1.60M |
| Citizens Memorial Healthcare | Bolivar, MO | $1.38M |
| Citizens Memorial Healthcare | Bolivar, MO | $1.33M |
| Citizens Memorial Healthcare | Greenfield, MO | $905K |
| Citizens Memorial Healthcare | Osceola, MO | $861K |
| Citizens Memorial Healthcare | Stockton, MO | $673K |
| Citizens Memorial Healthcare | Ash Grove, MO | $641K |
| Citizens Memorial Healthcare | Pleasant Hope, MO | $623K |
| Citizens Memorial Hospital District | Bolivar, MO | $69K |
| Citizens Memorial Health Care Foundation | Bolivar, MO | $17K |
| Citizens Memorial Health Care Foundation | Ash Grove, MO | $9K |
| Citizens Memorial Health Care Foundation | Bolivar, MO | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.