Medicare provider payments and utilization data for Missouri (MO)
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.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.4B | 46.5M | 19.2K | — |
| 2015 | $1.5B | 47.4M | 19.6K | +3.4% |
| 2016 | $1.5B | 46.5M | 20.1K | +0.3% |
| 2017 | $1.5B | 46.7M | 20.8K | +1.3% |
| 2018 | $1.5B | 47.5M | 21.2K | +2.2% |
| 2019 | $1.5B | 45.9M | 22.0K | -0.8% |
| 2020 | $1.4B | 40.7M | 21.9K | -8.4% |
| 2021 | $1.5B | 39.5M | 22.4K | +7.1% |
| 2022 | $1.4B | 39.4M | 22.8K | -6.3% |
| 2023 | $1.4B | 39.8M | 23.1K | +0.7% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $124.1M | 1.6M | 9.0K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $61.5M | 1.1M | 8.7K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $46.5M | 780.4K | 4.3K |
| J0178 | Injection, aflibercept, 1 mg | $41.7M | 60.7K | 61 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $32.2M | 357.2K | 2.7K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $31.3M | 81.0K | 423 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $27.8M | 72.6K | 174 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $22.2M | 172.0K | 2.7K |
| J9271 | Injection, pembrolizumab, 1 mg | $22.1M | 515.2K | 44 |
| 99285 | Emergency department visit with high level of medical decision making | $21.7M | 163.3K | 1.2K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $20.9M | 199.4K | 4.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $18.1M | 172.3K | 1.8K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $17.9M | 618.7K | 46 |
| J0897 | Injection, denosumab, 1 mg | $17.0M | 928.2K | 206 |
| 99291 | Critical care, first 30-74 minutes | $16.8M | 103.8K | 1.5K |
| A0425 | Ground mileage, per statute mile | $16.4M | 2.1M | 178 |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $15.8M | 3.6K | 16 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $15.5M | 141.2K | 2.3K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $14.7M | 208.8K | 519 |
| 97530 | Therapy procedure using functional activities | $13.6M | 585.9K | 986 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $120.9M | 276 | $437.9K |
| Nurse Practitioner | $103.5M | 4.2K | $24.6K |
| Internal Medicine | $102.7M | 1.5K | $67.3K |
| Ambulance Service Provider | $89.4M | 194 | $460.8K |
| Ambulatory Surgical Center | $70.1M | 94 | $746.3K |
| Diagnostic Radiology | $65.6M | 689 | $95.2K |
| Family Practice | $60.3M | 1.4K | $42.5K |
| Dermatology | $45.0M | 201 | $223.8K |
| Physical Therapist in Private Practice | $41.7M | 1.0K | $41.0K |
| Medical Oncology | $41.5M | 107 | $388.3K |
| Cardiology | $39.6M | 341 | $116.1K |
| Rheumatology | $36.6M | 90 | $407.1K |
| Orthopedic Surgery | $35.5M | 433 | $81.9K |
| Emergency Medicine | $32.3M | 900 | $35.9K |
| Hematology-Oncology | $30.8M | 153 | $201.5K |
| Mass Immunizer Roster Biller | $27.4M | 674 | $40.6K |
| Hospitalist | $24.2M | 523 | $46.2K |
| Physician Assistant | $21.5M | 1.1K | $20.4K |
| Gastroenterology | $20.8M | 290 | $71.9K |
| Urology | $20.4M | 172 | $118.7K |
| Nephrology | $19.6M | 183 | $106.8K |
| Clinical Laboratory | $19.0M | 49 | $388.2K |
| Optometry | $18.3M | 687 | $26.7K |
| Pulmonary Disease | $17.4M | 224 | $77.5K |
| Podiatry | $17.2M | 224 | $77.0K |
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.