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
JOPLIN, MO 64804
33aNPI1215264817assigned 11/03/2009
33bProvider typeInternal Medicine Physician
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
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 | 41,024 | $1.11M | |
| 2019 | 46,390 | $1.35M | |
| 2020 | 57,150 | $2.01M | |
| 2021 | 64,102 | $2.72M | |
| 2022 | 76,961 | $4.20M | |
| 2023 | 96,224 | $5.53M | |
| 2024incomplete | 65,074 | $3.43M |
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 | 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)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Joplin LLC | Columbus, KS | $717K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.