NP / PA
Mercy Clinic Springfield Communities
Mercy Clinic Springfield Communities was paid $181K by Medicaid between Jan 2018 and Jun 2020, across 3 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
LEBANON, MO 65536
LEBANON, MO 65536
33aNPI1215066956assigned 03/05/2007
33bProvider typePhysician Assistant
28Total paid$181K
24GClaims2,898
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Physician Assistant providers in Missouri
Rank by total paid#11 of 136
Median peer was paid$12K
This provider vs. median16×
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 | 1,086 | $66K | |
| 2019 | 1,281 | $83K | |
| 2020 | 531 | $32K |
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 | 92% | 2,566 | 2,230 | $168K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 196 | 185 | $8K |
| 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 | 3.3% | 136 | 119 | $6K |
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 officialCAVAGNOL, ROBERT (CHIEF PHYSICIAN OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Springfield Communities | Willow Springs, MO | $385K |
| Mercy Clinic-Springfield Communities | Rolla, MO | $162K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.