Table Rock Family Care Clinic, LLC

Table Rock Family Care Clinic, LLC was paid $192K by Medicaid between May 2020 and Oct 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.

33Billing provider infoTABLE ROCK FAMILY CARE CLINIC, LLC
BRANSON, MO 65616

33aNPI1952934937assigned 02/18/2020

33bProvider typeFamily Medicine Physician

28Total paid$192K

24GClaims5,417

24DCodes billed5

24AFirst – last monthMay 2020 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#114 of 911

Median peer was paid$16K

This provider vs. median12×

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
2020	1,360	$14K
2021	794	$21K
2022	1,213	$49K
2023	1,340	$69K
2024incomplete	710	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	60%	3,111	2,341	$116K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	2,262	1,676	$76K
90670		<1%	12	12	$65.11
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	14	12	$16.18
90686		<1%	18	18	$0.15

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 officialRASMUSSEN, CHARLES (PHYSICIAN)