Physician
Lake Regional Health System
Lake Regional Health System was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoLAKE REGIONAL HEALTH SYSTEM
OSAGE BEACH, MO 65065
OSAGE BEACH, MO 65065
33aNPI1962828616assigned 03/05/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.03M
24GClaims30,017
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#24 of 911
Median peer was paid$16K
This provider vs. median66×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCROBERTS, KEVIN controls 12+ related entities in our dataset. Read more
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 | 495 | $10K | |
| 2019 | 1,468 | $32K | |
| 2020 | 5,312 | $172K | |
| 2021 | 15,999 | $507K | |
| 2022 | 3,009 | $112K | |
| 2023 | 2,615 | $137K | |
| 2024incomplete | 1,119 | $63K |
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 | 43% | 11,948 | 10,633 | $447K |
| 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 | 10% | 2,268 | 1,807 | $105K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.6% | 1,801 | 1,530 | $78K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.5% | 2,493 | 1,087 | $77K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 4.6% | 1,087 | 476 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 1,239 | 958 | $39K |
| 99460 | 3.4% | 459 | 450 | $35K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 666 | 637 | $34K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 288 | 245 | $23K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.2% | 1,579 | 1,303 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,448 | 1,329 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 267 | 235 | $14K |
21 more codes
| 54150 | 1.3% | 75 | $14K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 202 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 156 | $11K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 197 | $8K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 399 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 186 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 72 | $6K |
| 81003 | <1% | 2,393 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 184 | $4K |
| 99221 | <1% | 77 | $4K | |
| 59025 | Fetal non-stress test | <1% | 165 | $3K |
| 76801 | <1% | 42 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 33 | $2K |
| 99318 | <1% | 55 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 28 | $2K |
| 99220 | <1% | 14 | $864.48 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 41 | $511.65 |
| 81025 | <1% | 73 | $478.33 | |
| 87807 | <1% | 37 | $396.37 | |
| 99307 | <1% | 20 | $155.95 | |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 25 | $122.68 |
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 officialMCROBERTS, KEVIN (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.