Mercy Clinic Springfield Communities

Mercy Clinic Springfield Communities was paid $321K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.

33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
SAINT JAMES, MO 65559

33aNPI1134251929assigned 03/09/2007

33bProvider typeFamily Medicine Physician

28Total paid$321K

24GClaims4,935

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#80 of 911

Median peer was paid$16K

This provider vs. median20×

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	1,307	$82K
2019	1,502	$99K
2020	923	$62K
2021	313	$16K
2022	311	$22K
2023	412	$28K
2024incomplete	167	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	86%	3,776	3,326	$275K
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	11%	887	767	$37K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1.3%	147	132	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	58	55	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	15	15	$667.60
99349		<1%	15	15	$658.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	37	36	$602.18

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, WILLLIAM (CFO)