Big Springs Medical Association DBA Missouri Highland Health Care

Missouri · Health Center Program awardee · UDS 2025

Big Springs Medical Association DBA Missouri Highland Health Care is a federally qualified health center (FQHC) in Missouri and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Poplar Bluff, Doniphan, Ellington, Naylor, and Piedmont. In 2025 it served 24,729 patients, down 2.3% from 25,301 in 2024. 8.8% of its patients were uninsured, compared with 15.5% across Missouri health centers and 17.2% nationally.

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Medium by patient volume (small: under 10,000 patients; medium: 10,000–29,999; large: 30,000 or more) · rural setting · Section 330 funding: Community Health Center

24,729Patients served, 2025

8.8%of patients uninsured

46.2%of patients on Medicaid/CHIP

$1,692Total accrued cost per patient

$362Cost per visit

Big Springs Medical Association DBA Missouri Highland Health Care compared with Missouri and the nation, 2025

State and national columns are HRSA's published figures for Section 330-funded health centers. A dash means HRSA publishes no figure.
Measure	Big Springs Medical Association DBA Missouri Highland Health Care	Missouri health centers	National
Patients
Children under 18	34.6%	32.6%	28.6%
Adults 65 and older	14.4%	10.3%	12.8%
At or below 200% of the federal poverty guideline	90.7%	90.3%	90.0%
Insurance status
Uninsured	8.8%	15.5%	17.2%
Medicaid / CHIP	46.2%	51.9%	47.9%
Medicare	17.1%	9.6%	11.6%
Private insurance	28.0%	23.0%	23.0%
Cost
Total accrued cost per patient	$1,692	$1,629	$1,672
Cost per visit	$362	$441	$438
Clinical quality
Cervical cancer screening	40.4%	46.3%	57.0%
Colorectal cancer screening	38.0%	34.7%	44.9%
Breast cancer screening	42.9%	42.4%	56.0%
Controlling high blood pressure	70.4%	69.2%	69.1%
Diabetes: HbA1c poor control (lower is better)	28.4%	29.4%	26.3%
Depression screening and follow-up	90.8%	81.3%	75.3%
Tobacco screening and cessation	86.8%	83.2%	84.8%
Statin therapy for cardiovascular disease	79.3%	78.8%	79.0%

Patients by service

Service	2025
Medical	20,200
Dental	6,139
Mental health	966
Total clinic visits	115,614

Trends, 2016–2025

Year	Patients	Cost per patient	Uninsured	Medicaid/CHIP
2025	24,729	$1,692	8.8%	46.2%
2024	25,301	$1,623	10.2%	46.3%
2023	25,703	$1,547	9.7%	47.0%
2022	25,143	$1,297	7.4%	45.2%
2021	24,587	$1,168	7.6%	42.2%
2020	22,544	$1,006	11.9%	38.9%
2019	20,919	$863	11.8%	44.2%
2018	20,465	–	11.7%	48.8%
2017	17,797	$769	14.6%	44.4%
2016	16,011	$682	19.6%	39.0%

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