Providers
All 11 in MO
THOMAS E DAHLBERG, MD
NPI 1013013093, individual, Springfield, MO, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
score 50 of 100, rank 9372, $283K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2023 | More hours than a day holds at a conservative unit price | 3.7 | 44.4 | 29.6 | 41.7 | 248 | 1 | 99305 99308 99309 | $39K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | THOMAS E DAHLBERG, MD |
| Type | Individual |
| Status | Active |
| NPI issued | September 16, 2006, last updated January 22, 2024 |
| Practice location | 3322 S CAMPBELL AVE STE T-1, Springfield, MO 65807-4980, 417-220-4480 |
| Specialties | Family Medicine, Hospice and Palliative Medicine (207QH0002X, license MD104392 MO) Family Medicine (207Q00000X, primary, license MD104392 MO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| Y9504 | Medicaid service code | $12.5M | 95% | $3K | $3K (top 5% from $4K) | 57th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $372K | 3% | $51 | $14 (top 5% from $58) | 94th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $99K | 1% | $35 | $21 (top 5% from $84) | 75th percentile | |
| G0511 | Medicaid service code | $56K | 0% | $9.94 | $8.90 (top 5% from $98) | 53rd percentile | |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $20K | 0% | $21 | $6.11 (top 5% from $38) | 87th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $20K | 0% | $21 | $7.86 (top 5% from $34) | 89th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $18K | 0% | $73 | $76 (top 5% from $314) | 48th percentile | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | $17K | 0% | $21 | $16 (top 5% from $161) | 64th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,050 | 339 | $43K | $83 | $54 | 1.5x | 1.8x (90th percentile 2.9x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 468 | 297 | $34K | $183 | $99 | 1.8x | 2.0x (90th percentile 3.3x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 554 | 329 | $29K | $139 | $69 | 2.0x | 2.0x (90th percentile 3.4x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 162 | 154 | $22K | $336 | $169 | 2.0x | 1.9x (90th percentile 3.1x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 93 | 93 | $11K | $262 | $119 | 2.2x | 2.3x (90th percentile 4.1x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 317 | 146 | $10K | $76 | $41 | 1.9x | 1.9x (90th percentile 3.1x) |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 82 | 77 | $8K | $260 | $124 | 2.1x | 2.0x (90th percentile 3.3x) |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 82 | 69 | $5K | $145 | $72 | 2.0x | 2.3x (90th percentile 4.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
11 providers in Greene County, MO carry an indicator in the public record, with $20.4M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SUSAN MORRIS Springfield, MO, ranked 367 | $2K |
|
| 3 | NHC HEALTHCARE-SPRINGFIELD MISSOURI LLC Springfield, MO, ranked 2429 | $0 |
|
| 3 | SEASONS HOSPICE INC Springfield, MO, ranked 2516 | $0 |
|
| 3 | TRADITIONS HEALTH CARE OF SPRINGFIELD, LLC Springfield, MO, ranked 2711 | $0 |
|
| 4 | DELORES BROWN Springfield, MO, ranked 7607 | $2.6M |
|
| 4 | ANGELA KING Springfield, MO, ranked 8064 | $11.2M |
|
| 4 | LAURA MORENO GARCIA Springfield, MO, ranked 8720 | $2.0M |
|
| 4 | KERRY PARNELL Springfield, MO, ranked 9708 | $19K |
|
Recent enforcement in MO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Kansas Chiropractor Pleads Guilty to Health Care Fraud
Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.
DOJIndictedJul 30, 2026
Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud
King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.
DOJSentencedJul 21, 2026
Home Health Care Operator Sentenced for Defrauding Missouri Medicaid
Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.
DOJComplaint filedJun 23, 2026
Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims
Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.
DOJIndictedJun 3, 2026
U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor
A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.