OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. States
  3. Missouri

Missouri Medicare Spending

Medicare provider payments and utilization data for Missouri (MO)

🔎 Data Analysis

Missouri received $14.5B in total Medicare provider payments across 10 years of data.

The top specialty by spending is Ophthalmology, accounting for $120.9M in payments across 276 providers.

In 2023, 23.1K providers were actively billing Medicare in Missouri.

AI-generated analysis based on Medicare payment data.

⚠️

12 AI-Flagged Providers in Missouri

Providers in this state flagged by the ML v2 fraud detection model

Sudhirkumar ShahInternal Medicine
95.3%
Yusuf ChaudhryInternal Medicine
94.9%
Sangmin AhnPhysical Medicine and Rehabilitation
94.3%
View all ML-flagged providers →
Total Payments (10yr)
$14.5B
+0.7% vs 2022
Active Providers (2023)
23.1K
39.8M services
Top Specialty
Ophthalmology
$120.9M total
Specialties
30
$60.3K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$1.4B46.5M19.2K—
2015$1.5B47.4M19.6K+3.4%
2016$1.5B46.5M20.1K+0.3%
2017$1.5B46.7M20.8K+1.3%
2018$1.5B47.5M21.2K+2.2%
2019$1.5B45.9M22.0K-0.8%
2020$1.4B40.7M21.9K-8.4%
2021$1.5B39.5M22.4K+7.1%
2022$1.4B39.4M22.8K-6.3%
2023$1.4B39.8M23.1K+0.7%

Top Providers in Missouri

#ProviderSpecialtyPaymentsServices
1Lifenet, IncAmbulance Service Provider$8.1M83.5K
2Surgical Center At Columbia Orthopaedic Group LlcAmbulatory Surgical Center$6.2M69.1K
3Biotech X-Ray IncPortable X-Ray Supplier$5.1M133.3K
4Michael JosephRheumatology$5.1M406.1K
5Calstar Air Medical Services LlcAmbulance Service Provider$5.0M58.6K
6Abbott Ambulance IncAmbulance Service Provider$4.7M164.6K
7Stephen WilesOphthalmology$4.4M216.9K
8Robert DorseyGeneral Surgery$4.3M10.2K
9Mari KeithahnOphthalmology$4.3M50.9K
10Sona KamatInternal Medicine$4.1M219.4K
11Cal-Ore Life Flight LlcAmbulance Service Provider$3.6M105.4K
12Des Peres Eye Surgery Center, LlcAmbulatory Surgical Center$3.5M192.8K
13Interventional Pain Center Of Chesterfield LlcAmbulatory Surgical Center$3.4M1.6K
14St. Charles County Ambulance DistrictAmbulance Service Provider$3.4M86.2K
15Liana MakarianHematology-Oncology$3.3M331.2K
16David WestrichOphthalmology$3.3M40.9K
17City Of Kansas City MissouriAmbulance Service Provider$3.3M60.6K
18Umasankar RamadossMedical Oncology$3.3M301.8K
19Leonid ShunyakovMedical Oncology$3.3M122.2K
20Mark TungesvikHematology-Oncology$3.3M260.9K
21Harris SultanOphthalmology$3.3M22.8K
22Steven BaakRheumatology$3.2M333.0K
23Thyroid Specialty Laboratory IncClinical Laboratory$3.2M92.9K
24Nicholas EngelbrechtOphthalmology$3.2M44.6K
25Elangovan BalakrishnanHematology-Oncology$3.1M296.3K

Most Billed Procedures in Missouri

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$124.1M1.6M9.0K
99213Established patient office or other outpatient visit, 20-29 minutes$61.5M1.1M8.7K
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$46.5M780.4K4.3K
J0178Injection, aflibercept, 1 mg$41.7M60.7K61
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$32.2M357.2K2.7K
66984Removal of cataract with insertion of prosthetic lens$31.3M81.0K423
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$27.8M72.6K174
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$22.2M172.0K2.7K
J9271Injection, pembrolizumab, 1 mg$22.1M515.2K44
99285Emergency department visit with high level of medical decision making$21.7M163.3K1.2K
99204New patient office or other outpatient visit, 45-59 minutes$20.9M199.4K4.4K
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$18.1M172.3K1.8K
J2777Injection, faricimab-svoa, 0.1 mg$17.9M618.7K46
J0897Injection, denosumab, 1 mg$17.0M928.2K206
99291Critical care, first 30-74 minutes$16.8M103.8K1.5K
A0425Ground mileage, per statute mile$16.4M2.1M178
A0431Ambulance service, conventional air services, transport, one way (rotary wing)$15.8M3.6K16
99215Established patient office or other outpatient visit, 40-54 minutes$15.5M141.2K2.3K
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$14.7M208.8K519
97530Therapy procedure using functional activities$13.6M585.9K986

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Ophthalmology$120.9M276$437.9K
Nurse Practitioner$103.5M4.2K$24.6K
Internal Medicine$102.7M1.5K$67.3K
Ambulance Service Provider$89.4M194$460.8K
Ambulatory Surgical Center$70.1M94$746.3K
Diagnostic Radiology$65.6M689$95.2K
Family Practice$60.3M1.4K$42.5K
Dermatology$45.0M201$223.8K
Physical Therapist in Private Practice$41.7M1.0K$41.0K
Medical Oncology$41.5M107$388.3K
Cardiology$39.6M341$116.1K
Rheumatology$36.6M90$407.1K
Orthopedic Surgery$35.5M433$81.9K
Emergency Medicine$32.3M900$35.9K
Hematology-Oncology$30.8M153$201.5K
Mass Immunizer Roster Biller$27.4M674$40.6K
Hospitalist$24.2M523$46.2K
Physician Assistant$21.5M1.1K$20.4K
Gastroenterology$20.8M290$71.9K
Urology$20.4M172$118.7K
Nephrology$19.6M183$106.8K
Clinical Laboratory$19.0M49$388.2K
Optometry$18.3M687$26.7K
Pulmonary Disease$17.4M224$77.5K
Podiatry$17.2M224$77.0K

Explore More

Browse
← All States
Fraud Analysis
Fraud risk in Missouri →
Compare
Compare MO to other states →
Watchlist
Flagged providers in MO →
Investigation
State spending breakdown →
Investigation
Geographic inequality →
Investigation
The State Spending Divide →
Analysis
Fraud Analysis Hub →
Investigation
Internal Medicine: Fraud Ground Zero →
Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.