Physician
Northeast Missouri Health Council, INC.
Northeast Missouri Health Council, INC. was paid $60K by Medicaid between Apr 2018 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoNORTHEAST MISSOURI HEALTH COUNCIL, INC.
EDINA, MO 63537
EDINA, MO 63537
33aNPI1881730893assigned 01/29/2007
33bProvider typeFamily Medicine Physician
28Total paid$60K
24GClaims1,395
24DCodes billed3
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#250 of 911
Median peer was paid$16K
This provider vs. median3.8×
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 | 157 | $3K | |
| 2019 | 176 | $5K | |
| 2020 | 321 | $12K | |
| 2021 | 386 | $17K | |
| 2022 | 227 | $12K | |
| 2023 | 92 | $8K | |
| 2024incomplete | 36 | $3K |
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 | 46% | 599 | 505 | $27K |
| 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 | 34% | 311 | 253 | $21K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 20% | 485 | 408 | $12K |
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 officialGRIMM, ANDREW (EXECUTIVE DIRECTOR)
Parent organizationNORTHEAST MISSOURI HEALTH COUNCIL, INC.
| Provider | Location | Paid |
|---|---|---|
| Northeast Missouri Health Council, INC. | Kirksville, MO | $3.50M |
| Northeast Missouri Health Council INC | Kirksville, MO | $1.09M |
| Northeast Missouri Health Council, INC. | Kirksville, MO | $416K |
| Northeast Missouri Health Council, INC. | Kirksville, MO | $292K |
| Northeast Missouri Health Council, INC | Macon, MO | $227K |
| Northeast Missouri Health Council, INC | Macon, MO | $97K |
| Northeast Missouri Health Council INC | Milan, MO | $94K |
| Northeast Missouri Health Council INC | Kirksville, MO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.