Clinic
Douglas County Public Health Services Group, INC.
Douglas County Public Health Services Group, INC. was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoDOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
AVA, MO 65608
AVA, MO 65608
33aNPI1912904145assigned 07/01/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.50M
24GClaims27,060
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#31 of 215
Median peer was paid$208K
This provider vs. median7.2×
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 | 1,477 | $72K | |
| 2019 | 1,196 | $58K | |
| 2020 | 1,854 | $91K | |
| 2021 | 4,102 | $170K | |
| 2022 | 5,945 | $300K | |
| 2023 | 6,330 | $394K | |
| 2024incomplete | 6,156 | $410K |
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 | 65% | 15,995 | 13,767 | $971K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 2,670 | 1,535 | $206K |
| 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 | 12% | 2,123 | 1,817 | $181K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 2,420 | 2,312 | $36K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.3% | 273 | 227 | $34K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 274 | 257 | $14K |
| 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 | <1% | 501 | 429 | $13K |
| 81002 | <1% | 1,946 | 1,270 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | 12 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 28 | 13 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 57 | 53 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 183 | 178 | $5K |
7 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 304 | $5K |
| 80305 | <1% | 180 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 13 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $834.47 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $815.84 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | $305.46 |
| 83655 | <1% | 13 | $125.84 |
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 officialSIMS, RICHARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Douglas County Public Health Services Group, INC. | Mansfield, MO | $1.19M |
| Douglas County Public Health Services Group, INC. | Cabool, MO | $498K |
| Douglas County Public Health Services Group, INC. | Gainesville, MO | $372K |
| Professional Eyecare Center | East Lansing, MI | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.