Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CROSS TRAILS MEDICAL CENTER

NPI: 1962565499 · MARBLE HILL, MO 63764 · Federally Qualified Health Center (FQHC) · NPI assigned 12/18/2006

$331K
Total Medicaid Paid
12,941
Total Claims
11,444
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWELLS, MONA (CFO)
Parent OrganizationCROSS TRAILS MEDICAL CENTER
NPI Enumeration Date12/18/2006

Related Entities

Other providers sharing the same authorized official: WELLS, MONA

ProviderCityStateTotal Paid
CROSS TRAILS MEDICAL CENTER ADVANCE MO $302K
CROSS TRAILS MEDICAL CENTER PERRYVILLE MO $272K
CROSS TRAILS MEDICAL CENTER PERRYVILLE MO $218K
CROSS TRAILS MEDICAL CENTER ADVANCE MO $141K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,144 $62K
2019 3,044 $66K
2020 1,911 $50K
2021 1,757 $43K
2022 1,375 $41K
2023 1,118 $44K
2024 592 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,596 4,925 $195K
G0467 Federally 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 4,192 3,609 $112K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 452 418 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 122 113 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 44 41 $441.84
90688 43 42 $165.60
90674 18 18 $103.04
36415 Collection of venous blood by venipuncture 1,740 1,585 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 657 617 $0.00
G0008 Administration of influenza virus vaccine 50 50 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 13 $0.00