Clinic
Regional Health Care Clinic INC
Regional Health Care Clinic INC was paid $5.86M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoREGIONAL HEALTH CARE CLINIC INC
SEDALIA, MO 65301
SEDALIA, MO 65301
33aNPI1922057504assigned 05/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.86M
24GClaims89,747
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#7 of 215
Median peer was paid$208K
This provider vs. median28×
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 | 3,657 | $199K | |
| 2019 | 3,340 | $174K | |
| 2020 | 5,088 | $249K | |
| 2021 | 11,162 | $704K | |
| 2022 | 19,225 | $1.19M | |
| 2023 | 25,343 | $1.84M | |
| 2024incomplete | 21,932 | $1.51M |
Box 24 · Service lines
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 | 39% | 22,326 | 20,821 | $2.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 31,962 | 29,602 | $2.17M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.2% | 6,291 | 4,687 | $480K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 3,750 | 2,412 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 988 | 975 | $73K |
| Q3014 | Telehealth originating site facility fee | 1.1% | 3,892 | 3,741 | $64K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 787 | 783 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 841 | 829 | $61K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,508 | 2,016 | $54K |
| 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% | 1,896 | 1,740 | $49K |
| V2020 | Frames, purchases | <1% | 1,063 | 1,009 | $44K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 927 | 882 | $42K |
39 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 516 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,738 | $38K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 183 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 255 | $23K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,159 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 215 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 956 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 95 | $16K |
| 92015 | Determination of refractive state | <1% | 1,406 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $14K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 347 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 331 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 55 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 106 | $5K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 111 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $4K |
| 87807 | <1% | 336 | $4K | |
| 0001A | <1% | 74 | $3K | |
| 0002A | <1% | 67 | $3K | |
| 83655 | <1% | 212 | $2K | |
| 82962 | <1% | 132 | $2K | |
| 99382 | <1% | 27 | $2K | |
| 0072A | <1% | 35 | $2K | |
| 99385 | <1% | 17 | $1K | |
| 85018 | <1% | 331 | $698.18 | |
| 0003A | <1% | 15 | $631.12 | |
| 81003 | <1% | 122 | $622.96 | |
| 0011A | <1% | 12 | $495.88 | |
| 0031A | <1% | 12 | $450.80 | |
| 86703 | <1% | 19 | $423.14 | |
| 0124A | <1% | 17 | $320.86 | |
| 86580 | <1% | 19 | $201.01 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 17 | $174.95 |
| 82465 | <1% | 26 | $87.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 21 | $35.59 |
| 3008F | <1% | 268 | $0.01 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 128 | $0.00 |
| 91301 | 0% | 28 | $0.00 | |
| 3725F | 0% | 1,004 | $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 officialWALLER, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Regional Health Care Clinic, INC | Versailles, MO | $161K |
| Regional Health Care Clinic, INC | Marshall, MO | $26K |
| Regional Health Care Clinic, INC | Stover, MO | $23K |
| Regional Health Care Clinic, INC | Sedalia, MO | $2K |
| Regional Health Care Clinic, INC. | Sedalia, MO | $825.32 |
| Regional Health Care Clinic | Warsaw, MO | $544.12 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.