Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Springfield › NPI 1245277631

Mercy Clinic Springfield Communities

Mercy Clinic Springfield Communities was paid $51.48M by Medicaid between Jan 2018 and Dec 2024, across 350 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
SPRINGFIELD, MO 65807
33aNPI1245277631assigned 06/02/2006
33bProvider typeOptician
28Total paid$51.48M
24GClaims1,134,852
24DCodes billed350
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optician providers in Missouri

Rank by total paid#1 of 87
Median peer was paid$26K
This provider vs. median2,009×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201881,498$1.68M
201980,657$1.98M
2020117,093$3.71M
2021188,573$6.93M
2022200,834$9.80M
2023249,037$15.13M
2024incomplete217,160$12.26M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 163,194 155,133 $11.02M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 156,589 146,480 $9.92M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.4% 61,171 23,369 $2.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.5% 18,167 17,094 $1.80M
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 3.0% 12,595 12,321 $1.52M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.8% 10,687 5,390 $1.44M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.8% 14,630 14,556 $1.44M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 15,397 15,155 $1.29M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.1% 23,042 10,977 $1.10M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 16,471 15,906 $931K
99223 Prolong inpt eval add15 m 1.7% 9,145 8,613 $890K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 7,645 7,068 $820K
338 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 20,037 $802K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 7,527 $787K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 10,791 $644K
70450 Computed tomography, head or brain; without contrast material 1.2% 19,826 $633K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.1% 5,766 $565K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 14,287 $565K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.0% 10,430 $531K
67028 Intravitreal injection of a pharmacologic agent <1% 7,258 $490K
99239 Hospital discharge day management, more than 30 minutes <1% 7,333 $415K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 8,405 $373K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 75,869 $349K
71045 Radiologic examination, chest; single view <1% 65,974 $342K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 14,328 $326K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 5,919 $316K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,473 $304K
99222 Initial hospital care, per day, moderate complexity <1% 3,491 $290K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,188 $271K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,075 $262K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 4,624 $255K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,369 $244K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 534 $244K
59025 Fetal non-stress test <1% 7,920 $240K
88307 <1% 3,181 $218K
71046 Radiologic examination, chest; 2 views <1% 31,690 $213K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,773 $208K
95886 <1% 2,043 $190K
90723 <1% 9,030 $172K
92134 <1% 10,042 $169K
95951 <1% 1,508 $166K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,675 $159K
73630 <1% 9,884 $156K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,215 $149K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 3,531 $149K
76820 <1% 2,964 $136K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,318 $135K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,926 $125K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 936 $125K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 448 $124K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,283 $124K
99238 Hospital discharge day management, 30 minutes or less <1% 2,159 $122K
43235 <1% 778 $118K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,653 $114K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,246 $113K
99205 Prolong outpt/office vis <1% 799 $113K
49083 <1% 1,075 $110K
95720 <1% 1,275 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,814 $110K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,590 $110K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 144 $109K
74018 <1% 16,121 $102K
93970 <1% 3,106 $98K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,575 $97K
76819 Fetal biophysical profile; without non-stress testing <1% 2,540 $94K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,454 $94K
20610 <1% 2,898 $91K
99221 <1% 1,568 $91K
92567 <1% 7,363 $88K
95811 <1% 1,006 $83K
64615 <1% 992 $82K
90670 <1% 11,080 $76K
90686 <1% 12,187 $75K
88342 <1% 3,037 $74K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,204 $68K
90647 <1% 8,620 $67K
80053 Comprehensive metabolic panel <1% 8,507 $65K
95911 <1% 480 $59K
76818 <1% 601 $59K
76830 Ultrasound, transvaginal <1% 995 $58K
V2020 Frames, purchases <1% 836 $56K
90792 Psychiatric diagnostic evaluation with medical services <1% 628 $53K
92557 <1% 1,770 $50K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,740 $49K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,715 $46K
92015 Determination of refractive state <1% 6,907 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 785 $39K
93971 <1% 2,066 $36K
62323 <1% 341 $36K
92555 <1% 1,782 $36K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 148 $36K
70498 <1% 557 $35K
00170 Anesthesia for intraoral procedures, including biopsy <1% 492 $35K
76801 <1% 608 $35K
72125 Computed tomography, cervical spine; without contrast material <1% 877 $33K
93925 <1% 540 $33K
71250 <1% 897 $32K
72141 <1% 488 $32K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 768 $31K
90677 <1% 2,897 $31K
92552 <1% 1,225 $31K
74183 <1% 332 $30K
92579 <1% 730 $30K
90834 Psychotherapy session, about 45 minutes <1% 618 $27K
92060 <1% 1,034 $26K
73562 <1% 1,386 $26K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 1,205 $25K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 194 $25K
93296 <1% 2,203 $25K
93880 <1% 706 $24K
95251 <1% 744 $23K
88304 <1% 2,458 $23K
90633 <1% 2,953 $23K
99244 Office or other outpatient consultation, moderate to high complexity <1% 96 $23K
0001A <1% 641 $23K
99254 <1% 220 $23K
99253 <1% 211 $22K
00731 <1% 923 $22K
20611 <1% 365 $21K
72100 <1% 2,906 $21K
90681 <1% 2,573 $21K
27096 <1% 222 $20K
76642 <1% 824 $20K
J0178 Injection, aflibercept, 1 mg <1% 50 $19K
73221 <1% 341 $19K
62369 <1% 388 $19K
88341 <1% 261 $19K
64493 <1% 131 $19K
95819 <1% 305 $18K
70496 <1% 279 $18K
73610 <1% 1,416 $18K
84443 Thyroid stimulating hormone (TSH) <1% 1,232 $18K
99460 <1% 196 $17K
69210 <1% 682 $17K
83036 Hemoglobin; glycosylated (A1C) <1% 1,865 $17K
59430 <1% 57 $17K
94010 <1% 832 $16K
67210 <1% 54 $16K
74019 <1% 860 $16K
93227 <1% 804 $16K
77427 <1% 174 $15K
97803 <1% 460 $15K
93000 <1% 1,182 $15K
11750 <1% 156 $15K
93295 <1% 572 $15K
84165 <1% 2,091 $15K
93272 <1% 882 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 190 $14K
78815 Positron emission tomography (PET) for limited area imaging <1% 267 $14K
93356 <1% 637 $13K
92083 <1% 411 $13K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 404 $13K
51798 <1% 1,581 $12K
99188 <1% 552 $11K
73030 <1% 1,179 $11K
99310 Prolong nursin fac eval 15m <1% 298 $11K
99255 <1% 98 $11K
99152 <1% 451 $11K
81002 <1% 3,103 $11K
77014 <1% 668 $11K
J9035 Injection, bevacizumab, 10 mg <1% 660 $11K
72170 <1% 647 $10K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 20 $10K
93018 <1% 821 $10K
73100 <1% 493 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 232 $9K
88112 <1% 555 $9K
93016 <1% 711 $9K
94726 <1% 1,190 $9K
94060 <1% 503 $9K
64494 <1% 125 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 581 $9K
92235 <1% 155 $8K
47562 <1% 14 $8K
95012 <1% 432 $8K
90656 <1% 737 $8K
64635 <1% 30 $8K
83655 <1% 605 $7K
90710 <1% 341 $7K
73090 <1% 371 $7K
00126 <1% 162 $7K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 120 $7K
73070 <1% 424 $7K
90791 Psychiatric diagnostic evaluation <1% 85 $7K
94729 <1% 1,259 $7K
36415 Collection of venous blood by venipuncture <1% 4,737 $7K
95991 <1% 182 $7K
99306 Prolong nursin fac eval 15m <1% 175 $7K
77066 Tomosynthesis, mammo <1% 211 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 310 $7K
95115 <1% 862 $6K
80061 Lipid panel <1% 601 $6K
85060 <1% 393 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 13 $6K
95970 <1% 336 $6K
99245 <1% 28 $5K
95816 <1% 165 $5K
84439 <1% 596 $5K
97802 <1% 78 $5K
V2744 Tint, photochromatic, per lens <1% 235 $5K
J3590 Unclassified biologics <1% 416 $5K
99417 Prolong home eval add 15m <1% 72 $5K
90707 <1% 274 $5K
95199 <1% 58 $5K
85018 <1% 1,937 $5K
96161 <1% 1,470 $5K
93294 <1% 415 $5K
01922 <1% 36 $4K
76536 <1% 163 $4K
19083 <1% 15 $4K
73110 <1% 176 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 323 $4K
90734 <1% 553 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $4K
95250 <1% 25 $4K
92136 <1% 201 $4K
73564 <1% 174 $4K
90651 <1% 542 $4K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 21 $4K
73130 <1% 433 $3K
95800 <1% 97 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 189 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 189 $3K
73140 <1% 155 $3K
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% 2,000 $3K
96137 <1% 50 $3K
90696 <1% 151 $3K
99443 <1% 174 $3K
81025 <1% 366 $3K
0002A <1% 202 $3K
92133 <1% 137 $3K
87400 <1% 180 $3K
77073 <1% 69 $3K
17110 <1% 68 $3K
77072 <1% 208 $3K
73560 <1% 201 $3K
88312 <1% 172 $3K
90836 <1% 44 $3K
86334 <1% 407 $2K
90700 <1% 115 $2K
96130 <1% 41 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 60 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 321 $2K
72158 <1% 25 $2K
67228 <1% 12 $2K
99493 <1% 13 $2K
82784 <1% 239 $2K
97597 <1% 65 $2K
31575 <1% 37 $2K
72040 <1% 289 $2K
78226 <1% 93 $2K
92504 <1% 91 $2K
87081 <1% 295 $2K
64636 <1% 16 $2K
00813 <1% 80 $2K
73700 <1% 50 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 55 $2K
90716 <1% 263 $2K
93458 <1% 12 $2K
86140 <1% 349 $2K
76770 <1% 59 $2K
64643 <1% 38 $2K
99252 <1% 32 $2K
90672 <1% 181 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 27 $1K
42830 <1% 13 $1K
96136 <1% 50 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 28 $1K
81003 <1% 804 $1K
90715 <1% 101 $1K
93280 <1% 65 $1K
92025 <1% 82 $1K
85014 <1% 455 $1K
70486 <1% 27 $1K
73502 <1% 91 $1K
43762 <1% 12 $1K
00142 <1% 64 $1K
83615 <1% 232 $991.83
99220 <1% 13 $923.44
92587 <1% 26 $896.81
96116 <1% 31 $889.04
64642 <1% 15 $887.07
95974 <1% 14 $841.71
88311 <1% 104 $838.64
96158 <1% 36 $818.23
11102 <1% 13 $797.58
00811 <1% 51 $791.78
99385 <1% 12 $730.73
72146 <1% 12 $695.89
87660 <1% 39 $694.33
77065 Tomosynthesis, mammo <1% 41 $682.44
99219 <1% 15 $669.90
0071A <1% 32 $640.00
70491 <1% 14 $620.48
73590 <1% 31 $616.63
96159 <1% 33 $612.74
93976 <1% 12 $596.37
84702 <1% 44 $593.22
92553 <1% 12 $464.40
87070 <1% 52 $449.18
11045 <1% 20 $446.83
86800 <1% 27 $443.38
78306 <1% 12 $436.34
86376 <1% 27 $405.71
84481 <1% 27 $391.70
87653 <1% 12 $365.00
81001 <1% 188 $356.15
85652 <1% 130 $354.52
92250 <1% 27 $310.78
93285 <1% 12 $299.16
0012A <1% 33 $296.78
81015 <1% 157 $293.93
82670 <1% 12 $258.20
83020 <1% 14 $222.90
99459 <1% 13 $221.32
87480 <1% 13 $212.39
85027 <1% 42 $206.93
99442 <1% 30 $202.42
74022 <1% 12 $194.08
92020 <1% 12 $172.91
0011A <1% 45 $169.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 106 $166.89
82728 <1% 16 $158.19
76775 <1% 13 $147.69
84166 <1% 30 $137.61
82043 <1% 25 $136.56
80076 <1% 18 $135.35
82950 <1% 29 $134.71
90381 <1% 12 $130.10
82570 <1% 26 $127.60
86141 <1% 12 $125.23
99497 <1% 19 $122.38
76376 <1% 17 $121.53
86320 <1% 21 $120.46
82607 <1% 12 $116.17
99407 <1% 14 $115.56
83550 <1% 17 $93.31
99173 <1% 13 $80.50
83540 <1% 17 $73.01
93325 <1% 24 $70.04
0642T <1% 57 $54.10
J1040 Injection, methylprednisolone acetate, 80 mg <1% 14 $48.22
76514 <1% 12 $39.76
98968 <1% 19 $29.71
J7999 Compounded drug, not otherwise classified <1% 47 $29.08
99441 <1% 14 $27.61
90685 <1% 40 $10.40
90649 0% 12 $0.00
90732 0% 12 $0.00
90688 0% 22 $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 officialROBERTS, BJ (CFO)
Same official

Other billing entities under ROBERTS, BJ

Full network →
ProviderLocationPaid
Mercy Clinic Springfield CommunitiesHollister, MO$15.13M
Mercy Clinic Springfield CommunitiesSpringfield, MO$967K
Mercy Clinic Springfield CommunitiesBerryville, AR$188K
Mercy Clinic Springfield CommunitiesGreen Forest, AR$29K
Mercy Clinic Springfield CommunitiesEureka Springs, AR$20K
Mercy Clinic Springfield CommunitiesBerryville, AR$96.94

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