Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SPRINGFIELD › MERCY CLINIC SPRINGFIELD COMMUNITIES

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1245277631 · SPRINGFIELD, MO 65807 · Optician · NPI assigned 06/02/2006

$51.48M
Total Medicaid Paid
1,134,852
Total Claims
994,277
Beneficiaries
350
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, BJ (CFO)
NPI Enumeration Date06/02/2006

Related Entities

Other providers sharing the same authorized official: ROBERTS, BJ

ProviderCityStateTotal Paid
MERCY CLINIC SPRINGFIELD COMMUNITIES HOLLISTER MO $15.13M
MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO $967K
MERCY CLINIC SPRINGFIELD COMMUNITIES BERRYVILLE AR $188K
MERCY CLINIC SPRINGFIELD COMMUNITIES GREEN FOREST AR $29K
MERCY CLINIC SPRINGFIELD COMMUNITIES EUREKA SPRINGS AR $20K
MERCY CLINIC SPRINGFIELD COMMUNITIES BERRYVILLE AR $96.94

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,498 $1.68M
2019 80,657 $1.98M
2020 117,093 $3.71M
2021 188,573 $6.93M
2022 200,834 $9.80M
2023 249,037 $15.13M
2024 217,160 $12.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 163,194 155,133 $11.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 156,589 146,480 $9.92M
99232 Subsequent hospital care, per day, moderate complexity 61,171 23,369 $2.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,167 17,094 $1.80M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,595 12,321 $1.52M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,687 5,390 $1.44M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,630 14,556 $1.44M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,397 15,155 $1.29M
99233 Prolong inpt eval add15 m 23,042 10,977 $1.10M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,471 15,906 $931K
99223 Prolong inpt eval add15 m 9,145 8,613 $890K
99215 Prolong outpt/office vis 7,645 7,068 $820K
88305 Level IV - Surgical pathology, gross and microscopic examination 20,037 17,656 $802K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,527 7,465 $787K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,791 10,250 $644K
70450 Computed tomography, head or brain; without contrast material 19,826 18,923 $633K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,766 5,588 $565K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,287 13,749 $565K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,430 9,257 $531K
67028 Intravitreal injection of a pharmacologic agent 7,258 6,791 $490K
99239 Hospital discharge day management, more than 30 minutes 7,333 6,974 $415K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 8,405 5,723 $373K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 75,869 65,923 $349K
71045 Radiologic examination, chest; single view 65,974 57,027 $342K
99309 Subsequent nursing facility care, per day, low to moderate complexity 14,328 12,223 $326K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,919 5,682 $316K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,473 2,423 $304K
99222 Initial hospital care, per day, moderate complexity 3,491 3,219 $290K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,188 1,092 $271K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,075 1,054 $262K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,624 4,513 $255K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,369 2,355 $244K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 534 521 $244K
59025 Fetal non-stress test 7,920 4,270 $240K
88307 3,181 2,883 $218K
71046 Radiologic examination, chest; 2 views 31,690 30,879 $213K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,773 1,741 $208K
95886 2,043 1,971 $190K
90723 9,030 8,958 $172K
92134 10,042 9,444 $169K
95951 1,508 396 $166K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,675 2,642 $159K
73630 9,884 7,767 $156K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,215 2,259 $149K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,531 2,461 $149K
76820 2,964 1,717 $136K
70551 Magnetic resonance imaging, brain; without contrast material 2,318 2,222 $135K
71275 Computed tomographic angiography, chest, with contrast material 1,926 1,872 $125K
95810 Polysomnography; sleep staging with 4 or more additional parameters 936 922 $125K
42820 Tonsillectomy and adenoidectomy; younger than age 12 448 445 $124K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,283 2,207 $124K
99238 Hospital discharge day management, 30 minutes or less 2,159 2,060 $122K
43235 778 756 $118K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,653 2,572 $114K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,246 2,004 $113K
99205 Prolong outpt/office vis 799 790 $113K
49083 1,075 695 $110K
95720 1,275 483 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,814 6,641 $110K
99308 Subsequent nursing facility care, per day, straightforward 5,590 4,963 $110K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 144 142 $109K
74018 16,121 14,217 $102K
93970 3,106 2,808 $98K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,575 1,486 $97K
76819 Fetal biophysical profile; without non-stress testing 2,540 1,940 $94K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,454 4,355 $94K
20610 2,898 2,399 $91K
99221 1,568 1,403 $91K
92567 7,363 7,277 $88K
95811 1,006 985 $83K
64615 992 968 $82K
90670 11,080 10,964 $76K
90686 12,187 12,060 $75K
88342 3,037 2,631 $74K
77067 Screening mammography, bilateral, including computer-aided detection 2,204 2,179 $68K
90647 8,620 8,544 $67K
80053 Comprehensive metabolic panel 8,507 7,268 $65K
95911 480 470 $59K
76818 601 406 $59K
76830 Ultrasound, transvaginal 995 975 $58K
V2020 Frames, purchases 836 819 $56K
90792 Psychiatric diagnostic evaluation with medical services 628 512 $53K
92557 1,770 1,744 $50K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,740 7,326 $49K
77063 Screening digital breast tomosynthesis, bilateral 1,715 1,696 $46K
92015 Determination of refractive state 6,907 6,526 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 785 766 $39K
93971 2,066 1,984 $36K
62323 341 318 $36K
92555 1,782 1,769 $36K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 148 129 $36K
70498 557 536 $35K
00170 Anesthesia for intraoral procedures, including biopsy 492 490 $35K
76801 608 589 $35K
72125 Computed tomography, cervical spine; without contrast material 877 846 $33K
93925 540 485 $33K
71250 897 875 $32K
72141 488 483 $32K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 768 706 $31K
90677 2,897 2,883 $31K
92552 1,225 1,214 $31K
74183 332 326 $30K
92579 730 728 $30K
90834 Psychotherapy, 45 minutes with patient 618 391 $27K
92060 1,034 1,003 $26K
73562 1,386 1,321 $26K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,205 1,125 $25K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 194 191 $25K
93296 2,203 2,115 $25K
93880 706 647 $24K
95251 744 738 $23K
88304 2,458 2,240 $23K
90633 2,953 2,917 $23K
99244 Office or other outpatient consultation, moderate to high complexity 96 96 $23K
0001A 641 621 $23K
99254 220 187 $23K
99253 211 202 $22K
00731 923 886 $22K
20611 365 348 $21K
72100 2,906 2,847 $21K
90681 2,573 2,558 $21K
27096 222 196 $20K
76642 824 772 $20K
J0178 Injection, aflibercept, 1 mg 50 48 $19K
73221 341 327 $19K
62369 388 350 $19K
88341 261 238 $19K
64493 131 104 $19K
95819 305 300 $18K
70496 279 271 $18K
73610 1,416 1,343 $18K
84443 Thyroid stimulating hormone (TSH) 1,232 1,186 $18K
99460 196 192 $17K
69210 682 593 $17K
83036 Hemoglobin; glycosylated (A1C) 1,865 1,814 $17K
59430 57 52 $17K
94010 832 789 $16K
67210 54 52 $16K
74019 860 850 $16K
93227 804 789 $16K
77427 174 87 $15K
97803 460 419 $15K
93000 1,182 1,157 $15K
11750 156 127 $15K
93295 572 553 $15K
84165 2,091 1,856 $15K
93272 882 879 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 190 184 $14K
78815 Positron emission tomography (PET) for limited area imaging 267 255 $14K
93356 637 618 $13K
92083 411 402 $13K
76700 Ultrasound, abdominal, real time with image documentation; complete 404 399 $13K
51798 1,581 1,522 $12K
99188 552 549 $11K
73030 1,179 1,120 $11K
99310 Prolong nursin fac eval 15m 298 244 $11K
99255 98 90 $11K
99152 451 413 $11K
81002 3,103 2,493 $11K
77014 668 153 $11K
J9035 Injection, bevacizumab, 10 mg 660 648 $11K
72170 647 591 $10K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 20 12 $10K
93018 821 803 $10K
73100 493 382 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 232 228 $9K
88112 555 481 $9K
93016 711 701 $9K
94726 1,190 1,162 $9K
94060 503 474 $9K
64494 125 102 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 581 553 $9K
92235 155 148 $8K
47562 14 13 $8K
95012 432 431 $8K
90656 737 736 $8K
64635 30 24 $8K
83655 605 603 $7K
90710 341 340 $7K
73090 371 291 $7K
00126 162 161 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 120 114 $7K
73070 424 358 $7K
90791 Psychiatric diagnostic evaluation 85 81 $7K
94729 1,259 1,231 $7K
36415 Collection of venous blood by venipuncture 4,737 4,076 $7K
95991 182 164 $7K
99306 Prolong nursin fac eval 15m 175 159 $7K
77066 Tomosynthesis, mammo 211 193 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 310 300 $7K
95115 862 253 $6K
80061 Lipid panel 601 570 $6K
85060 393 354 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $6K
95970 336 300 $6K
99245 28 28 $5K
95816 165 139 $5K
84439 596 585 $5K
97802 78 67 $5K
V2744 Tint, photochromatic, per lens 235 227 $5K
J3590 Unclassified biologics 416 396 $5K
99417 Prolong home eval add 15m 72 72 $5K
90707 274 273 $5K
95199 58 56 $5K
85018 1,937 1,902 $5K
96161 1,470 1,454 $5K
93294 415 399 $5K
01922 36 36 $4K
76536 163 160 $4K
19083 15 14 $4K
73110 176 162 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 323 281 $4K
90734 553 542 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 13 $4K
95250 25 25 $4K
92136 201 129 $4K
73564 174 170 $4K
90651 542 534 $4K
J0585 Injection, onabotulinumtoxina, 1 unit 21 12 $4K
73130 433 407 $3K
95800 97 97 $3K
D0150 Comprehensive oral evaluation - new or established patient 189 105 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 189 183 $3K
73140 155 136 $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) 2,000 1,886 $3K
96137 50 49 $3K
90696 151 151 $3K
99443 174 170 $3K
81025 366 346 $3K
0002A 202 93 $3K
92133 137 134 $3K
87400 180 101 $3K
77073 69 68 $3K
17110 68 65 $3K
77072 208 173 $3K
73560 201 172 $3K
88312 172 163 $3K
90836 44 42 $3K
86334 407 351 $2K
90700 115 115 $2K
96130 41 38 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 60 60 $2K
87086 Culture, bacterial; quantitative colony count, urine 321 305 $2K
72158 25 24 $2K
67228 12 12 $2K
99493 13 13 $2K
82784 239 239 $2K
97597 65 53 $2K
31575 37 37 $2K
72040 289 283 $2K
78226 93 92 $2K
92504 91 89 $2K
87081 295 293 $2K
64636 16 12 $2K
00813 80 76 $2K
73700 50 50 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 55 55 $2K
90716 263 263 $2K
93458 12 12 $2K
86140 349 338 $2K
76770 59 59 $2K
64643 38 24 $2K
99252 32 32 $2K
90672 181 179 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 27 $1K
42830 13 13 $1K
96136 50 49 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $1K
81003 804 779 $1K
90715 101 98 $1K
93280 65 62 $1K
92025 82 76 $1K
85014 455 452 $1K
70486 27 27 $1K
73502 91 89 $1K
43762 12 12 $1K
00142 64 64 $1K
83615 232 197 $991.83
99220 13 13 $923.44
92587 26 26 $896.81
96116 31 29 $889.04
64642 15 13 $887.07
95974 14 14 $841.71
88311 104 96 $838.64
96158 36 12 $818.23
11102 13 13 $797.58
00811 51 48 $791.78
99385 12 12 $730.73
72146 12 12 $695.89
87660 39 39 $694.33
77065 Tomosynthesis, mammo 41 30 $682.44
99219 15 14 $669.90
0071A 32 16 $640.00
70491 14 13 $620.48
73590 31 29 $616.63
96159 33 12 $612.74
93976 12 12 $596.37
84702 44 43 $593.22
92553 12 12 $464.40
87070 52 51 $449.18
11045 20 13 $446.83
86800 27 27 $443.38
78306 12 12 $436.34
86376 27 27 $405.71
84481 27 27 $391.70
87653 12 12 $365.00
81001 188 182 $356.15
85652 130 130 $354.52
92250 27 25 $310.78
93285 12 12 $299.16
0012A 33 12 $296.78
81015 157 155 $293.93
82670 12 12 $258.20
83020 14 14 $222.90
99459 13 13 $221.32
87480 13 13 $212.39
85027 42 38 $206.93
99442 30 28 $202.42
74022 12 12 $194.08
92020 12 12 $172.91
0011A 45 14 $169.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 106 104 $166.89
82728 16 14 $158.19
76775 13 12 $147.69
84166 30 25 $137.61
82043 25 24 $136.56
80076 18 18 $135.35
82950 29 29 $134.71
90381 12 12 $130.10
82570 26 25 $127.60
86141 12 12 $125.23
99497 19 19 $122.38
76376 17 16 $121.53
86320 21 17 $120.46
82607 12 12 $116.17
99407 14 12 $115.56
83550 17 14 $93.31
99173 13 13 $80.50
83540 17 14 $73.01
93325 24 24 $70.04
0642T 57 44 $54.10
J1040 Injection, methylprednisolone acetate, 80 mg 14 14 $48.22
76514 12 12 $39.76
98968 19 17 $29.71
J7999 Compounded drug, not otherwise classified 47 47 $29.08
99441 14 14 $27.61
90685 40 39 $10.40
90649 12 12 $0.00
90732 12 12 $0.00
90688 22 22 $0.00