Physician
Mercy Hospital Carthage
Mercy Hospital Carthage was paid $18.78M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99283, emergency room visit (moderate) — 25% of everything it billed.
33Billing provider infoMERCY HOSPITAL CARTHAGE
CARTHAGE, MO 64836
CARTHAGE, MO 64836
33aNPI1003201955assigned 03/30/2015
33bProvider typeNeurology Physician
28Total paid$18.78M
24GClaims163,168
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Missouri
Rank by total paid#1 of 42
Median peer was paid$9K
This provider vs. median2,106×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CLOUSE DAY, SHERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,669 | $3.58M | |
| 2019 | 23,262 | $3.96M | |
| 2020 | 18,682 | $2.33M | |
| 2021 | 22,542 | $923K | |
| 2022 | 21,458 | $1.92M | |
| 2023 | 28,237 | $2.97M | |
| 2024incomplete | 28,318 | $3.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 39,551 | 28,317 | $4.78M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 19,528 | 15,362 | $2.86M |
| Y7506 | 14% | 18,146 | 17,376 | $2.60M | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 8,761 | 6,047 | $1.98M |
| X4011 | State-specific procedure code | 4.9% | 4,219 | 3,979 | $913K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.4% | 10,338 | 9,802 | $822K |
| X4006 | 4.2% | 1,097 | 952 | $791K | |
| 80053 | Comprehensive metabolic panel | 3.3% | 8,233 | 7,837 | $624K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 2,391 | 2,338 | $431K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.1% | 4,615 | 4,453 | $389K |
| X4003 | 1.6% | 3,513 | 3,309 | $300K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 8,037 | 7,337 | $238K |
56 more codes
| 62323 | 1.2% | 1,391 | $229K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 4,155 | $225K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.0% | 2,475 | $195K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.0% | 1,620 | $194K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,564 | $156K |
| 87081 | <1% | 1,437 | $154K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,737 | $115K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,041 | $113K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 410 | $111K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,184 | $56K |
| 81001 | <1% | 1,577 | $54K | |
| 81003 | <1% | 2,985 | $46K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,495 | $38K |
| 83690 | <1% | 981 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 510 | $29K |
| 64615 | <1% | 233 | $28K | |
| 86140 | <1% | 136 | $25K | |
| 62321 | <1% | 126 | $24K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 186 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 876 | $18K |
| 87428 | <1% | 524 | $16K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 323 | $14K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 191 | $12K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 191 | $12K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 89 | $11K |
| 84145 | <1% | 32 | $10K | |
| 81025 | <1% | 1,023 | $10K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 66 | $9K |
| 98928 | <1% | 275 | $8K | |
| 87807 | <1% | 357 | $8K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 56 | $7K |
| 84484 | <1% | 379 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 334 | $6K |
| 87400 | <1% | 357 | $5K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 26 | $5K |
| 95886 | <1% | 15 | $4K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 317 | $4K |
| 83735 | <1% | 44 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 125 | $4K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 15 | $3K |
| 87430 | <1% | 236 | $3K | |
| 74022 | <1% | 12 | $2K | |
| 87420 | <1% | 204 | $2K | |
| 27096 | <1% | 23 | $2K | |
| 80306 | <1% | 31 | $2K | |
| J3490 | Unclassified drugs | <1% | 278 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 18 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 216 | $1K |
| 85018 | <1% | 574 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $953.72 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $587.76 |
| 98927 | <1% | 18 | $528.06 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 170 | $329.30 |
| 81002 | <1% | 19 | $109.63 | |
| 85610 | <1% | 29 | $30.87 | |
| 85651 | <1% | 12 | $23.87 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCLOUSE DAY, SHERRY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospital Aurora | Aurora, MO | $9.91M |
| Mercy Hospital Cassville | Cassville, MO | $9.56M |
| Mercy Hospital Logan County INC | Guthrie, OK | $5.02M |
| Mercy Hospital Berryville | Berryville, AR | $2.86M |
| Mercy Hospital Healdton, INC. | Healdton, OK | $1.45M |
| Mercy Hospital Booneville | Booneville, AR | $1.31M |
| Mercy Hospital Watonga INC | Watonga, OK | $1.17M |
| Mercy Hospital Waldron | Waldron, AR | $1.17M |
| Mercy Hospital Perry | Perryville, MO | $1.05M |
| Mercy Hospital Logan County, INC | Guthrie, OK | $924K |
| Mercy Hospital Ozark | Ozark, AR | $839K |
| Mercy Hospital Paris | Paris, AR | $834K |
| Mercy Hospital Carthage | Carthage, MO | $788K |
| Mercy Hospital Kingfisher, INC | Kingfisher, OK | $385K |
| Mercy Hospital Paris | Paris, AR | $363K |
| Mercy Hospital Ozark | Ozark, AR | $268K |
| Mercy Hospital Booneville | Booneville, AR | $200K |
| Mercy Hospital Paris | Paris, AR | $152K |
| Mercy Hospital Waldron | Waldron, AR | $150K |
| Mercy Hospital Perry | Perryville, MO | $131K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.