Mercy Hospital Springfield

Mercy Hospital Springfield was paid $6.59M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 71% of everything it billed.

33Billing provider infoMERCY HOSPITAL SPRINGFIELD
SPRINGFIELD, MO 65804

33aNPI1043242159assigned 07/07/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$6.59M

24GClaims68,967

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Missouri

Rank by total paid#33 of 74

Median peer was paid$4.44M

This provider vs. median1.5×

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 ROBERTS, WILLIAM 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	6,598	$423K
2019	7,274	$468K
2020	6,914	$543K
2021	10,219	$846K
2022	10,486	$1.13M
2023	14,312	$1.68M
2024incomplete	13,164	$1.50M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	71%	46,335	44,083	$4.68M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	23%	15,562	15,207	$1.52M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.7%	6,777	6,620	$376K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	215	212	$7K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	58	55	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	20	19	$158.40

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 officialROBERTS, WILLIAM (VP FINANCE)

Same official

Other billing entities under ROBERTS, WILLIAM

Full network →

Provider	Location	Paid
Mercy Hospital Springfield	Springfield, MO	$64.60M
Mercy Hospital Springfield	Springfield, MO	$46.74M
Mercy Hospital Lebanon	Lebanon, MO	$32.61M
Mercy Hospital Springfield	Branson West, MO	$6.49M
Mercy Clinic Springfield Communities	Rolla, MO	$2.51M
Mercy Clinic Springfield Communities	Lebanon, MO	$2.19M
Mercy Clinic Springfield Communities	St. Robert, MO	$1.68M
Mercy Clinic Springfield Communities	Cassville, MO	$1.22M
Mercy Clinic Springfield Communities	Mountain Grove, MO	$1.08M
Mercy Clinic Springfield Communities	Mountain View, MO	$1.08M
Mercy Clinic Springfield Communities	El Dorado Springs, MO	$997K
Mercy Clinic Springfield Communities	Lebanon, MO	$813K
Mercy Clinic Springfield Communities	Salem, MO	$698K
Mercy Clinic Springfield Communities	Branson West, MO	$410K
Mercy Clinic Springfield Communities	Steelville, MO	$368K
Mercy Clinic Springfield Communities	Richland, MO	$222K
Mercy Clinic Springfield Communities	Birch Tree, MO	$143K
Mercy Clinic Springfield Communities	Buffalo, MO	$127K
Mercy Clinic Springfield Communities	Summersville, MO	$112K
Mercy Clinic Springfield Communities	Rolla, MO	$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.