Physician
Mercy Clinic Springfield Communities
Mercy Clinic Springfield Communities was paid $15.13M by Medicaid between Jan 2018 and Dec 2024, across 157 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
HOLLISTER, MO 65672
HOLLISTER, MO 65672
33aNPI1053350454assigned 06/04/2006
33bProvider typeInternal Medicine Physician
28Total paid$15.13M
24GClaims289,843
24DCodes billed157
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#2 of 364
Median peer was paid$10K
This provider vs. median1,476×
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
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 | 14,493 | $301K | |
| 2019 | 11,782 | $310K | |
| 2020 | 26,713 | $930K | |
| 2021 | 49,002 | $1.96M | |
| 2022 | 53,423 | $2.90M | |
| 2023 | 70,243 | $4.67M | |
| 2024incomplete | 64,187 | $4.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 104,773 | 97,694 | $6.30M |
| 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 | 30% | 65,427 | 61,298 | $4.58M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 4,950 | 4,708 | $497K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 4,430 | 4,420 | $425K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 3,903 | 3,844 | $338K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 3,217 | 3,211 | $330K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 3,391 | 3,345 | $264K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 3,537 | 3,458 | $201K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 3,118 | 3,027 | $196K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 2,978 | 2,339 | $158K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,385 | 1,378 | $143K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 2,647 | 1,338 | $103K |
145 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 598 | $80K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,185 | $75K |
| 99223 | Prolong inpt eval add15 m | <1% | 695 | $70K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,888 | $66K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,748 | $59K |
| 99205 | Prolong outpt/office vis | <1% | 459 | $59K |
| 71045 | Radiologic examination, chest; single view | <1% | 10,644 | $58K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 935 | $53K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,634 | $45K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 989 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,709 | $42K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 599 | $41K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 635 | $40K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 835 | $38K |
| 92015 | Determination of refractive state | <1% | 8,047 | $36K |
| 90723 | <1% | 1,796 | $33K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,338 | $32K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 259 | $32K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 506 | $32K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 472 | $27K |
| 20610 | <1% | 793 | $24K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 298 | $24K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 503 | $24K |
| 90670 | <1% | 3,347 | $23K | |
| 90686 | <1% | 3,654 | $22K | |
| 95720 | <1% | 172 | $21K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,575 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 581 | $20K |
| 87428 | <1% | 376 | $19K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 811 | $18K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 258 | $18K |
| 59430 | <1% | 63 | $18K | |
| 73221 | <1% | 297 | $18K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,866 | $17K |
| 59025 | Fetal non-stress test | <1% | 389 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,383 | $16K |
| 73630 | <1% | 971 | $14K | |
| 90647 | <1% | 1,824 | $14K | |
| 87400 | <1% | 846 | $14K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 218 | $13K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 53 | $13K |
| 74018 | <1% | 1,758 | $12K | |
| 0001A | <1% | 322 | $12K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 240 | $11K |
| Q3014 | Telehealth originating site facility fee | <1% | 464 | $10K |
| 95811 | <1% | 123 | $10K | |
| 92134 | <1% | 406 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,145 | $9K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 51 | $8K |
| 81025 | <1% | 950 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 100 | $8K |
| 90633 | <1% | 885 | $6K | |
| 78226 | <1% | 246 | $6K | |
| 71250 | <1% | 168 | $6K | |
| 90672 | <1% | 704 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 122 | $5K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 64 | $5K |
| 92002 | <1% | 129 | $5K | |
| 92136 | <1% | 313 | $5K | |
| 99188 | <1% | 243 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 278 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | $4K |
| 76642 | <1% | 127 | $4K | |
| 87430 | <1% | 232 | $4K | |
| 90681 | <1% | 504 | $3K | |
| 0002A | <1% | 197 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 86 | $3K |
| 90677 | <1% | 296 | $3K | |
| 11750 | <1% | 20 | $3K | |
| 90698 | <1% | 116 | $2K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 67 | $2K |
| 72100 | <1% | 304 | $2K | |
| 93971 | <1% | 166 | $2K | |
| 73610 | <1% | 314 | $2K | |
| 99221 | <1% | 41 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 60 | $2K |
| 90710 | <1% | 120 | $2K | |
| 90651 | <1% | 220 | $2K | |
| 73030 | <1% | 281 | $2K | |
| 90734 | <1% | 215 | $2K | |
| 73130 | <1% | 219 | $2K | |
| 90680 | <1% | 193 | $2K | |
| 78816 | <1% | 26 | $2K | |
| 81002 | <1% | 461 | $2K | |
| 70498 | <1% | 33 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $2K |
| 99383 | <1% | 12 | $2K | |
| 27096 | <1% | 16 | $2K | |
| 73562 | <1% | 161 | $1K | |
| 90656 | <1% | 139 | $1K | |
| 90696 | <1% | 81 | $1K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 25 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 733 | $1K |
| 90707 | <1% | 62 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 25 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $1K |
| 74183 | <1% | 12 | $1K | |
| 82728 | <1% | 114 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 99460 | <1% | 16 | $1K | |
| 90697 | <1% | 52 | $1K | |
| 77080 | <1% | 137 | $1K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 17 | $1K |
| 92552 | <1% | 62 | $1K | |
| 90671 | <1% | 97 | $1K | |
| 76801 | <1% | 15 | $936.75 | |
| 0011A | <1% | 162 | $876.18 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 30 | $828.20 |
| 73720 | <1% | 15 | $797.69 | |
| 90715 | <1% | 37 | $796.61 | |
| 83550 | <1% | 114 | $781.68 | |
| 90660 | <1% | 100 | $733.46 | |
| 77066 | Tomosynthesis, mammo | <1% | 14 | $720.58 |
| 73700 | <1% | 18 | $694.69 | |
| 20611 | <1% | 14 | $675.00 | |
| 90648 | <1% | 126 | $663.10 | |
| V2020 | Frames, purchases | <1% | 12 | $649.11 |
| 83540 | <1% | 115 | $577.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $524.58 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 28 | $464.45 |
| 81003 | <1% | 235 | $418.98 | |
| 74022 | <1% | 25 | $408.94 | |
| 85014 | <1% | 173 | $404.68 | |
| 85018 | <1% | 173 | $404.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21 | $389.94 |
| 73110 | <1% | 51 | $374.50 | |
| 80305 | <1% | 44 | $353.40 | |
| 76536 | <1% | 14 | $347.84 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 12 | $336.36 |
| 90700 | <1% | 15 | $309.33 | |
| 80061 | Lipid panel | <1% | 34 | $232.09 |
| 90716 | <1% | 26 | $229.12 | |
| 92250 | <1% | 14 | $221.69 | |
| 73560 | <1% | 29 | $179.70 | |
| 90744 | <1% | 24 | $160.91 | |
| 99173 | <1% | 30 | $160.00 | |
| 72040 | <1% | 19 | $131.11 | |
| 90619 | <1% | 12 | $128.64 | |
| 74019 | <1% | 12 | $104.82 | |
| 73502 | <1% | 14 | $81.98 | |
| 83615 | <1% | 13 | $54.48 | |
| 85027 | <1% | 23 | $53.15 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 26 | $41.91 |
| 90685 | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
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, BJ (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Springfield Communities | Springfield, MO | $51.48M |
| Mercy Clinic Springfield Communities | Springfield, MO | $967K |
| Mercy Clinic Springfield Communities | Berryville, AR | $188K |
| Mercy Clinic Springfield Communities | Green Forest, AR | $29K |
| Mercy Clinic Springfield Communities | Eureka Springs, AR | $20K |
| Mercy Clinic Springfield Communities | Berryville, AR | $96.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.