Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Joplin › NPI 1215264817
Physician

Mercy Clinic Joplin LLC

Mercy Clinic Joplin LLC was paid $20.35M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoMERCY CLINIC JOPLIN LLC
JOPLIN, MO 64804
33aNPI1215264817assigned 11/03/2009
28Total paid$20.35M
24GClaims446,925
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Missouri

Rank by total paid#1 of 364
Median peer was paid$10K
This provider vs. median1,984×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201841,024$1.11M
201946,390$1.35M
202057,150$2.01M
202164,102$2.72M
202276,961$4.20M
202396,224$5.53M
2024incomplete65,074$3.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 90,914 83,727 $4.87M
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 24% 82,841 76,298 $4.86M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 22,334 21,281 $2.11M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.4% 24,532 11,080 $894K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.5% 8,129 7,934 $704K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.3% 6,475 3,135 $672K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.8% 4,081 3,878 $573K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.3% 11,069 5,418 $475K
99223 Prolong inpt eval add15 m 2.2% 4,715 4,231 $439K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.0% 8,458 8,252 $415K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.8% 3,712 3,614 $360K
99239 Hospital discharge day management, more than 30 minutes 1.7% 6,892 6,548 $355K
161 more codes
99203 Doctor's office visit, new patient (routine) 1.6% 4,215 $335K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 3,145 $281K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 6,295 $237K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.2% 1,222 $236K
99222 Initial hospital care, per day, moderate complexity <1% 2,752 $189K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 37,865 $181K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,210 $174K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,964 $128K
99238 Hospital discharge day management, 30 minutes or less <1% 1,823 $102K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,031 $92K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 894 $88K
71045 Radiologic examination, chest; single view <1% 20,762 $87K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 110 $85K
70450 Computed tomography, head or brain; without contrast material <1% 3,174 $78K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,106 $69K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 260 $69K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 149 $62K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,009 $54K
99215 Doctor's office visit, returning patient (complex) <1% 653 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,431 $52K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,031 $46K
59025 Fetal non-stress test <1% 1,466 $45K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 9,401 $42K
59430 <1% 151 $39K
43249 <1% 256 $33K
99292 <1% 555 $32K
81025 <1% 4,129 $32K
90723 <1% 1,534 $28K
71046 Radiologic examination, chest; 2 views <1% 5,017 $27K
81003 <1% 12,191 $26K
93880 <1% 1,299 $26K
87428 <1% 470 $25K
99220 <1% 422 $25K
99460 <1% 265 $22K
76642 <1% 832 $21K
99480 Subsequent intensive care, per day, low birth weight infant <1% 124 $18K
93298 <1% 1,513 $17K
90648 <1% 1,986 $15K
11721 <1% 2,463 $15K
0001A <1% 461 $15K
93296 <1% 1,594 $15K
76801 <1% 178 $14K
99308 Subsequent nursing facility care, per day, straightforward <1% 554 $13K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 54 $13K
99219 <1% 247 $13K
99307 <1% 977 $13K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 122 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 855 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 228 $11K
93280 <1% 548 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 624 $11K
95251 <1% 552 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 96 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 219 $10K
90670 <1% 1,446 $10K
99205 Prolong outpt/office vis <1% 73 $9K
87400 <1% 595 $9K
93295 <1% 449 $9K
93000 <1% 799 $9K
74018 <1% 1,442 $9K
93299 <1% 256 $8K
36415 Collection of venous blood by venipuncture <1% 5,051 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 116 $7K
77066 Tomosynthesis, mammo <1% 176 $7K
73630 <1% 511 $6K
20610 <1% 203 $6K
90671 <1% 545 $6K
72110 <1% 346 $5K
73562 <1% 332 $5K
90681 <1% 693 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 116 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 122 $5K
77065 Tomosynthesis, mammo <1% 148 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 194 $4K
90633 <1% 501 $4K
54150 <1% 26 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 90 $4K
99152 <1% 194 $4K
93970 <1% 206 $3K
93016 <1% 345 $3K
94726 <1% 472 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 87 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 150 $3K
93971 <1% 256 $3K
93272 <1% 194 $3K
99406 <1% 371 $3K
72141 <1% 42 $3K
0002A <1% 136 $3K
93018 <1% 278 $3K
93294 <1% 275 $3K
99188 <1% 117 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 115 $2K
94729 <1% 490 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $2K
93283 <1% 75 $2K
99383 <1% 24 $2K
51798 <1% 255 $2K
73030 <1% 293 $2K
90686 <1% 350 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 37 $2K
93458 <1% 14 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 42 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 29 $2K
76830 Ultrasound, transvaginal <1% 45 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 61 $2K
95811 <1% 21 $2K
90710 <1% 67 $2K
71250 <1% 41 $2K
81002 <1% 485 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 29 $1K
73110 <1% 128 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 41 $1K
71275 Computed tomographic angiography, chest, with contrast material <1% 27 $1K
76641 <1% 48 $1K
93227 <1% 63 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 47 $1K
93297 <1% 57 $1K
99493 <1% 24 $1K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 16 $1K
88307 <1% 15 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 12 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 40 $1K
72100 <1% 152 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 55 $944.60
99459 <1% 52 $917.70
83036 Hemoglobin; glycosylated (A1C) <1% 210 $821.86
90677 <1% 43 $746.04
99385 <1% 12 $735.93
11720 <1% 158 $670.67
95115 <1% 84 $629.29
0011A <1% 114 $575.96
90707 <1% 26 $555.81
87420 <1% 43 $553.31
88312 <1% 37 $520.59
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 13 $516.12
91010 <1% 13 $482.51
90672 <1% 76 $480.58
73130 <1% 72 $477.51
71271 <1% 12 $476.65
94060 <1% 65 $475.29
90700 <1% 26 $465.96
95819 <1% 13 $450.94
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% 210 $421.76
73610 <1% 53 $387.24
74022 <1% 28 $381.78
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 12 $347.55
91037 <1% 13 $343.96
90716 <1% 37 $334.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 33 $327.76
76770 <1% 16 $326.58
90656 <1% 31 $324.02
90837 Psychotherapy session, about an hour <1% 15 $289.99
96161 <1% 95 $283.68
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 12 $282.82
87807 <1% 18 $236.65
90734 <1% 12 $125.22
90647 <1% 12 $124.58
72050 <1% 12 $97.60
99441 <1% 17 $46.39
99442 <1% 14 $5.36
G0008 Administration of influenza virus vaccine 0% 14 $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 officialJANSSENS, MATHEW (CFO)
Same official

Other billing entities under JANSSENS, MATHEW

Full network →
ProviderLocationPaid
Mercy Clinic Joplin LLCColumbus, KS$717K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.