Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Butler Physician Services, LLC

Butler Physician Services, LLC was paid $1.63M by Medicaid between Jan 2018 and May 2023, across 15 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 40% of everything it billed.

33Billing provider infoBUTLER PHYSICIAN SERVICES, LLC
POPLAR BLUFF, MO 63901
33aNPI1982056545assigned 07/07/2016
33bProvider typePediatrics Physician
28Total paid$1.63M
24GClaims32,398
24DCodes billed15
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#20 of 992
Median peer was paid$40K
This provider vs. median40×

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 FALK, LISHA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20185,833$213K
20191,656$95K
20204,513$223K
20217,561$373K
20227,873$424K
20234,962$305K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 40% 7,111 6,516 $661K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 28% 11,036 4,932 $450K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9.2% 1,300 524 $150K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.0% 3,844 2,334 $114K
99460 5.9% 1,782 1,606 $96K
99239 Hospital discharge day management, more than 30 minutes 5.2% 1,901 1,768 $86K
99238 Hospital discharge day management, 30 minutes or less 4.1% 1,675 1,525 $66K
99220 <1% 93 89 $6K
99462 <1% 98 83 $2K
99221 <1% 43 43 $1K
99218 <1% 26 26 $1K
1123F 0% 268 250 $0.00
3 more codes
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 0% 32 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 0% 31 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,158 $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 officialFALK, LISHA (VP OF CONTRACTING)
Same official

Other billing entities under FALK, LISHA

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.