Mercy Hospital Waldron
Mercy Hospital Waldron was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
WALDRON, AR 72958
Next to other Rural Health Clinic/Center providers in Arkansas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 941 | $32K | |
| 2019 | 723 | $27K | |
| 2020 | 570 | $23K | |
| 2021 | 323 | $14K | |
| 2022 | 399 | $18K | |
| 2023 | 268 | $13K | |
| 2024incomplete | 300 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 57% | 1,848 | 1,649 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 769 | 726 | $24K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.6% | 534 | 514 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 89 | 65 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 71 | 54 | $8K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.7% | 53 | 48 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 66 | 66 | $2K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.2% | 57 | 49 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 37 | 36 | $493.21 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospital Carthage | Carthage, MO | $18.78M |
| 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 Perry | Perryville, MO | $131K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.