Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY HOSPITAL, INC.

NPI: 1083628911 · MOUNDRIDGE, KS 67107 · Certified Registered Nurse Anesthetist · NPI assigned 07/28/2006

$244.90
Total Medicaid Paid
84
Total Claims
81
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialHOLDEMAN, ROYCE (CFO)
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $0.00
2021 24 $244.90
2022 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 12 12 $160.00
0011A 12 12 $84.90
36415 Collection of venous blood by venipuncture 16 16 $0.00
80048 Basic metabolic panel (calcium, ionized) 30 27 $0.00
0064A 14 14 $0.00