Providers
All 11 in MO
LAURA ALEJANDRA MORENO GARCIA, M.D.
NPI 1801247473, individual, Springfield, MO, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 11 months, but with up to 2262 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8720, $2.0M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 24.7 | 54.4 | 36.3 | 49.4 | 1804 | 1 | 97803 99212 99213 99214 G0447 | $137K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 27.2 | 48.1 | 32.1 | 47.4 | 1839 | 1 | 97802 97803 99204 99212 99213 99214 G0447 | $125K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 26.4 | 43.0 | 28.7 | 39.1 | 1846 | 1 | 97803 99204 99212 99213 99214 G0447 | $110K |
| Dec 2022 | More hours than a day holds at a conservative unit price | 23.8 | 47.8 | 31.9 | 44.9 | 1806 | 1 | 97802 97803 99204 99212 99213 99214 | $123K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 30.5 | 57.6 | 38.4 | 54.1 | 2262 | 1 | 97802 97803 99204 99212 99213 99214 G0447 | $150K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 22.8 | 52.7 | 35.1 | 47.3 | 1678 | 1 | 97803 99212 99213 99214 G0447 | $137K |
| Apr 2023 | More hours than a day holds at a conservative unit price | 19.7 | 46.2 | 30.8 | 46.2 | 1441 | 1 | 97803 99212 99213 99214 | $119K |
| May 2023 | More hours than a day holds at a conservative unit price | 18.8 | 45.7 | 30.5 | 41.1 | 1274 | 1 | 99204 99212 99213 99214 | $118K |
| Jun 2023 | More hours than a day holds at a conservative unit price | 16.0 | 38.2 | 25.5 | 34.7 | 1047 | 1 | 99212 99213 99214 | $96K |
| Aug 2023 | More hours than a day holds at a conservative unit price | 17.5 | 41.9 | 27.9 | 37.7 | 1151 | 1 | 99212 99213 99214 | $107K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 18.1 | 41.5 | 27.6 | 39.5 | 1186 | 1 | 99204 99212 99213 99214 | $104K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAURA ALEJANDRA MORENO GARCIA, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 24, 2016, last updated November 5, 2024 |
| Practice location | 3443 S NATIONAL AVE, Springfield, MO 65807-7308, 417-269-2000 |
| Specialties | Pediatrics (208000000X, license ME146863 FL) Pediatrics (208000000X, primary, license 2024036671 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.1M | 34% | $65 | $44 (top 5% from $110) | 77th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $881K | 28% | $90 | $60 (top 5% from $133) | 79th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $205K | 6% | $34 | $28 (top 5% from $147) | 62nd percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $197K | 6% | $40 | $26 (top 5% from $54) | 78th percentile | |
| 99392 | Medicaid service code | $189K | 6% | $68 | $78 (top 5% from $124) | 36th percentile | |
| 99391 | Medicaid service code | $143K | 5% | $62 | $76 (top 5% from $126) | 31st percentile | |
| 99393 | Medicaid service code | $98K | 3% | $66 | $78 (top 5% from $121) | 37th percentile | |
| 99394 | Medicaid service code | $73K | 2% | $85 | $83 (top 5% from $128) | 54th percentile |
In this area
11 providers in Greene County, MO carry an indicator in the public record, with $18.6M 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 | THOMAS DAHLBERG Springfield, MO, ranked 9372 | $283K |
|
| 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.