Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mercy ST. Francis Hospital

Mercy ST. Francis Hospital was paid $6.86M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is 99283, emergency room visit (moderate) — 25% of everything it billed.

33Billing provider infoMERCY ST. FRANCIS HOSPITAL
MOUNTAIN VIEW, MO 65548
33aNPI1023053477assigned 06/19/2006
33bProvider typeCritical Access Hospital
28Total paid$6.86M
24GClaims51,451
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in Missouri

Rank by total paid#6 of 33
Median peer was paid$2.24M
This provider vs. median3.1×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20187,507$1.95M
20196,719$1.59M
20204,444$514K
20215,942$251K
20227,301$727K
202310,188$942K
2024incomplete9,350$891K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 11,942 8,377 $1.68M
Y7506 22% 8,301 7,578 $1.49M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 6,749 4,898 $1.03M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 4,660 2,822 $945K
X4011 State-specific procedure code 7.6% 1,594 1,474 $523K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.4% 5,570 5,084 $442K
80053 Comprehensive metabolic panel 4.3% 4,493 4,154 $295K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.8% 386 379 $124K
86140 <1% 788 744 $34K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 110 103 $30K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 319 298 $30K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 509 477 $28K
38 more codes
71045 Radiologic examination, chest; single view <1% 445 $26K
71046 Radiologic examination, chest; 2 views <1% 70 $25K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 323 $23K
36415 Collection of venous blood by venipuncture <1% 156 $14K
J3490 Unclassified drugs <1% 561 $12K
83880 <1% 504 $11K
87428 <1% 442 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 92 $10K
83735 <1% 536 $10K
87807 <1% 66 $8K
96375 Therapeutic injection; each additional sequential IV push <1% 173 $7K
83605 <1% 361 $7K
80048 Basic metabolic panel (calcium, ionized) <1% 43 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 44 $7K
94762 <1% 24 $6K
99213 Doctor's office visit, returning patient (routine) <1% 166 $5K
81003 <1% 104 $5K
84484 <1% 132 $2K
84443 Thyroid stimulating hormone (TSH) <1% 221 $2K
70450 Computed tomography, head or brain; without contrast material <1% 14 $2K
Q3014 Telehealth originating site facility fee <1% 60 $1K
85652 <1% 646 $1K
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% 81 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 43 $982.51
Y7507 <1% 12 $843.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $831.16
83690 <1% 174 $830.26
87400 <1% 48 $514.37
81001 <1% 254 $506.41
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $498.98
85379 <1% 42 $199.96
J7030 Infusion, normal saline solution , 1000 cc <1% 13 $126.00
81025 <1% 12 $117.22
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 59 $103.50
80305 <1% 15 $98.44
85610 <1% 27 $68.61
87086 Culture, bacterial; quantitative colony count, urine <1% 14 $42.68
85730 <1% 14 $40.13

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 officialCLOUSEDAY, SHERRY (CFO)