Medicaid Provider Spending

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

LAKE REGIONAL HEALTH SYSTEM

NPI: 1962828616 · OSAGE BEACH, MO 65065 · Family Medicine Physician · NPI assigned 03/05/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCROBERTS, KEVIN controls 12+ related entities in our dataset. Read more

$1.03M
Total Medicaid Paid
30,017
Total Claims
23,964
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCROBERTS, KEVIN (CEO)
NPI Enumeration Date03/05/2014

Related Entities

Other providers sharing the same authorized official: MCROBERTS, KEVIN

ProviderCityStateTotal Paid
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $23.69M
LAKE REGIONAL MEDICAL MANAGEMENT, INC. OSAGE BEACH MO $2.13M
LAKE REGIONAL HEALTH SYSTEM ELDON MO $1.85M
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $1.49M
LAKE REGIONAL HEALTH SYSTEM CAMDENTON MO $1.36M
LAKE REGIONAL HEALTH SYSTEM LAKE OZARK MO $798K
LAKE REGIONAL HEALTH SYSTEM LAURIE MO $244K
LAKE REGIONAL HEALTH SYSTEM LEBANON MO $209K
LAKE REGIONAL HEALTH SYSTEM IBERIA MO $113K
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $77K
LAKE REGIONAL HEALTH SYSTEM CAMDENTON MO $62K
LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 495 $10K
2019 1,468 $32K
2020 5,312 $172K
2021 15,999 $507K
2022 3,009 $112K
2023 2,615 $137K
2024 1,119 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,948 10,633 $447K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,268 1,807 $105K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,801 1,530 $78K
99232 Subsequent hospital care, per day, moderate complexity 2,493 1,087 $77K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,087 476 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,239 958 $39K
99460 459 450 $35K
99238 Hospital discharge day management, 30 minutes or less 666 637 $34K
99223 Prolong inpt eval add15 m 288 245 $23K
99308 Subsequent nursing facility care, per day, straightforward 1,579 1,303 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,448 1,329 $20K
99239 Hospital discharge day management, more than 30 minutes 267 235 $14K
54150 75 74 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 202 187 $13K
99222 Initial hospital care, per day, moderate complexity 156 141 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 197 107 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 399 335 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 186 172 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 72 64 $6K
81003 2,393 1,537 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 184 162 $4K
99221 77 67 $4K
59025 Fetal non-stress test 165 107 $3K
76801 42 37 $3K
76819 Fetal biophysical profile; without non-stress testing 33 13 $2K
99318 55 51 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 28 25 $2K
99220 14 12 $864.48
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 41 39 $511.65
81025 73 66 $478.33
87807 37 34 $396.37
99307 20 20 $155.95
Q0112 All potassium hydroxide (koh) preparations 25 24 $122.68