Clinic
Cross Trails Medical Center
Cross Trails Medical Center was paid $331K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoCROSS TRAILS MEDICAL CENTER
MARBLE HILL, MO 63764
MARBLE HILL, MO 63764
33aNPI1962565499assigned 12/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$331K
24GClaims12,941
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#85 of 215
Median peer was paid$208K
This provider vs. median1.6×
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 | 3,144 | $62K | |
| 2019 | 3,044 | $66K | |
| 2020 | 1,911 | $50K | |
| 2021 | 1,757 | $43K | |
| 2022 | 1,375 | $41K | |
| 2023 | 1,118 | $44K | |
| 2024incomplete | 592 | $25K |
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 | 59% | 5,596 | 4,925 | $195K |
| 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 | 34% | 4,192 | 3,609 | $112K |
| 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 | 5.9% | 452 | 418 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 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 | <1% | 44 | 41 | $441.84 |
| 90688 | <1% | 43 | 42 | $165.60 | |
| 90674 | <1% | 18 | 18 | $103.04 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,740 | 1,585 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 657 | 617 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 50 | 50 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | 13 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 14 | 13 | $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 officialWELLS, MONA (CFO)
Parent organizationCROSS TRAILS MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.