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NPI 1275854465 · Maryville, MO · Family Medicine Physician
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Charles Fillingane is a family medicine physician provider located in Maryville, Missouri. This profile covers 23 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Charles Fillingane |
| Address | 422 N Main St |
| City | Maryville |
| State | MO |
| ZIP | 64468 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 22, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $123.9K |
| Medicare | $117.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 550 | $90 | $47.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $120 | $14.5K |
| 99458 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.… | 320 | $30 | $9K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 230 | $30 | $7.4K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 200 | $30 | $6.1K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 100 | $60 | $5.9K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 130 | $40 | $5.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 80 | $60 | $4.6K |
| 0241U | N/A | 30 | $130 | $3.4K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 30 | $100 | $3K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99458 | 11 | 40 | 110 | $30 | $14.4K |
| 99214 | 576 | 8,960 | 100 | $80 | $13.9K |
| 99490 | 118 | 190 | 180 | $40 | $13.8K |
| 99454 | 25 | 50 | 190 | $30 | $11.8K |
| 99457 | 22 | 50 | 160 | $30 | $11.5K |
| G0439 | 484 | 1,770 | 60 | $110 | $10.2K |
| 99439 | 87 | 120 | 160 | $30 | $9.2K |
| 99213 | 3,964 | 8,730 | 70 | $50 | $7K |
| 99204 | 2,295 | 4,360 | 30 | $100 | $4.8K |
| 20610 | 682 | 830 | 60 | $40 | $4.6K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,560 | $50 | $115.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 130 | $50 | $6.4K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 20 | $40 | $630 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 230 | $1 | $230 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 500 | $0 | $0 |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 1,690 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 361 | 3,170 | 230 | $70 | $128.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,752 | 4,310 | 300 | $60 | $110.8K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 122 | 140 | 180 | $40 | $24.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 131 | 350 | 240 | $10 | $23.2K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 2 | 70 | 70 | $1 | $830 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 23 | 90 | 90 | $1 | $520 |
Other providers in the same ZIP code as Charles Fillingane, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Nodaway County Services For The Developmentally Disabled, Inc. | MO | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $17.9M |
| Nodaway County Services For The Developmentally Disabled, Inc. | MO | Case Management Agency | $0 | $5.6M |
| Nodaway County Ambulance District | MO | Ambulance | $566.4K | $488.6K |
| Leslie Wittmann | MO | Optometrist | $54.3K | $32.3K |
| Dallas Mullock | MO | Family Medicine Physician | $56.8K | $0 |
| Dallas Fitzgerald | MO | Optometrist | $21.2K | $0 |
| Kyle Thomas | MO | Family Nurse Practitioner | $21.1K | $0 |
| Spencer Sands | MO | Anesthesiology Physician | $3.7K | $0 |
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