Behavioral
Mercy Hospitals East Communities
Mercy Hospitals East Communities was paid $3.17M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMERCY HOSPITALS EAST COMMUNITIES
WASHINGTON, MO 63090
WASHINGTON, MO 63090
33aNPI1104912997assigned 10/05/2006
33bProvider typePsychologist
28Total paid$3.17M
24GClaims22,701
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Missouri
Rank by total paid#2 of 53
Median peer was paid$16K
This provider vs. median203×
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 | 7,852 | $1.13M | |
| 2019 | 6,724 | $996K | |
| 2020 | 3,175 | $445K | |
| 2021 | 1,449 | $180K | |
| 2022 | 1,530 | $167K | |
| 2023 | 1,165 | $144K | |
| 2024incomplete | 806 | $105K |
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 | 48% | 11,116 | 10,084 | $1.51M |
| 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 | 37% | 7,709 | 7,098 | $1.18M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 1,185 | 903 | $195K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 358 | 304 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 220 | 218 | $43K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 291 | 190 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 176 | 175 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 852 | 251 | $33K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 141 | 137 | $30K |
| D0140 | Limited oral evaluation - problem focused | <1% | 408 | 361 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | 51 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 31 | 31 | $6K |
5 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 47 | $726.44 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | $505.71 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 72 | $421.40 |
| D1110 | Prophylaxis - adult | <1% | 13 | $291.40 |
| D0274 | Bitewings - four radiographic images | <1% | 16 | $238.04 |
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 officialTHORN, MARK (EXECUTIVE DIRECTOR FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospitals East Communities | Washington, MO | $25.34M |
| Mercy Hospital Lincoln | Troy, MO | $10.53M |
| Mercy Hospital Lincoln | Troy, MO | $930K |
| Mercy Hospital Lincoln | Troy, MO | $786K |
| Mercy Hospital Lincoln | Elsberry, MO | $183K |
| Mercy Hospital Lincoln | Winfield, MO | $135K |
| Mercy Hospital Lincoln | Troy, MO | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.