Clinic
Mercy Health Northwest Arkansas Communities
Mercy Health Northwest Arkansas Communities was paid $8.38M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoMERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
ROGERS, AR 72758
ROGERS, AR 72758
33aNPI1265490916assigned 05/03/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$8.38M
24GClaims299,233
24DCodes billed115
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Arkansas
Rank by total paid#5 of 24
Median peer was paid$566K
This provider vs. median15×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WILCHER, GRETA controls 14+ related entities in our dataset. Read more
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 | 38,842 | $1.09M | |
| 2019 | 53,046 | $1.29M | |
| 2020 | 44,879 | $1.15M | |
| 2021 | 45,797 | $1.30M | |
| 2022 | 37,715 | $1.10M | |
| 2023 | 44,151 | $1.31M | |
| 2024incomplete | 34,803 | $1.13M |
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 | 35% | 109,089 | 90,584 | $2.96M |
| 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 | 29% | 52,891 | 45,380 | $2.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 17,184 | 15,065 | $890K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 9,345 | 8,263 | $472K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 21,525 | 17,704 | $167K |
| 90838 | 1.6% | 1,084 | 991 | $132K | |
| 90686 | 1.3% | 9,679 | 8,703 | $113K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 2,146 | 1,863 | $108K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 11,271 | 8,848 | $106K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 2,158 | 2,038 | $103K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 8,180 | 4,273 | $98K |
| 90670 | 1.1% | 8,202 | 7,772 | $91K |
103 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,297 | $52K |
| 0001A | <1% | 1,799 | $44K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,049 | $41K |
| 90680 | <1% | 3,424 | $41K | |
| 90723 | <1% | 3,392 | $40K | |
| 87428 | <1% | 1,354 | $40K | |
| 90647 | <1% | 2,947 | $39K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 861 | $38K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 380 | $32K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,643 | $29K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 398 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 730 | $20K |
| 90677 | <1% | 1,538 | $20K | |
| 69210 | <1% | 583 | $16K | |
| 0071A | <1% | 162 | $15K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 342 | $15K |
| 90698 | <1% | 1,246 | $13K | |
| 90688 | <1% | 1,441 | $13K | |
| 0002A | <1% | 661 | $13K | |
| 90656 | <1% | 717 | $11K | |
| 90633 | <1% | 877 | $10K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 326 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 192 | $9K |
| 90697 | <1% | 565 | $8K | |
| 90836 | <1% | 120 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 167 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 290 | $7K |
| 87430 | <1% | 881 | $7K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 291 | $7K |
| 73110 | <1% | 414 | $6K | |
| 99460 | <1% | 101 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,104 | $5K |
| 20610 | <1% | 133 | $5K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 51 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 894 | $5K |
| 59025 | Fetal non-stress test | <1% | 115 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 38 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 85 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,186 | $3K |
| 93000 | <1% | 248 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 359 | $2K |
| 0072A | <1% | 22 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 578 | $2K |
| 20611 | <1% | 26 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 64 | $2K |
| 99152 | <1% | 134 | $2K | |
| 73140 | <1% | 134 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $2K |
| 87400 | <1% | 175 | $2K | |
| 90744 | <1% | 151 | $2K | |
| 87807 | <1% | 124 | $1K | |
| 64615 | <1% | 13 | $1K | |
| 90734 | <1% | 106 | $1K | |
| 0081A | <1% | 12 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $1K |
| 93296 | <1% | 76 | $1K | |
| 90685 | <1% | 133 | $1K | |
| 85027 | <1% | 122 | $927.97 | |
| 99383 | <1% | 16 | $915.15 | |
| 99318 | <1% | 44 | $838.39 | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $831.89 |
| 73562 | <1% | 58 | $756.35 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $739.20 |
| 73630 | <1% | 33 | $691.64 | |
| 72100 | <1% | 43 | $673.32 | |
| 86140 | <1% | 395 | $648.82 | |
| 90707 | <1% | 50 | $643.86 | |
| 90681 | <1% | 51 | $610.46 | |
| 73130 | <1% | 29 | $592.30 | |
| 71045 | Radiologic examination, chest; single view | <1% | 76 | $567.98 |
| 73610 | <1% | 18 | $557.24 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 19 | $541.84 |
| 87420 | <1% | 70 | $501.93 | |
| 90716 | <1% | 39 | $499.32 | |
| 90682 | <1% | 16 | $483.50 | |
| 81003 | <1% | 1,155 | $453.19 | |
| 80061 | Lipid panel | <1% | 65 | $450.20 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 33 | $442.77 |
| 94060 | <1% | 12 | $374.28 | |
| 90651 | <1% | 32 | $354.78 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 513 | $348.55 |
| 81025 | <1% | 59 | $343.32 | |
| 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% | 854 | $317.13 |
| 90619 | <1% | 13 | $305.63 | |
| 73620 | <1% | 13 | $289.00 | |
| 85652 | <1% | 325 | $284.48 | |
| 80076 | <1% | 119 | $268.41 | |
| 90715 | <1% | 15 | $238.50 | |
| 84439 | <1% | 33 | $213.29 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $148.44 |
| 90380 | <1% | 12 | $144.54 | |
| 82565 | <1% | 102 | $124.27 | |
| 95251 | <1% | 70 | $108.83 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 64 | $96.72 |
| 93294 | <1% | 12 | $90.85 | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 48 | $75.20 |
| 96127 | <1% | 14 | $61.76 | |
| 93016 | <1% | 14 | $38.98 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 26 | $10.15 |
| 87210 | 0% | 12 | $0.00 | |
| 99174 | 0% | 515 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 21 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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 officialWILCHER, GRETA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Fort Smith Communities | Fort Smith, AR | $24.10M |
| Mercy Hospital Fort Smith | Fort Smith, AR | $22.48M |
| Mercy Hospital Rogers | Rogers, AR | $14.20M |
| Mercy Clinic Fort Smith Communities | Fort Smith, AR | $2.28M |
| Mercy Hospital Rogers | Rogers, AR | $1.83M |
| Mercy Clinic Fort Smith Communities | Fort Smith, AR | $1.62M |
| Mercy Health Northwest Arkansas Communities | Rogers, AR | $318K |
| Mercy Hospital Fort Smith | Fort Smith, AR | $298K |
| Mercy Health Northwest Arkansas Communities | Rogers, AR | $207K |
| Mercy Health Northwest Arkansas Communities | Rogers, AR | $104K |
| Mercy Health Northwest Arkansas Communities | Bella Vista, AR | $86K |
| ST Edward Mercy Foundation | Fort Smith, AR | $74K |
| Mercy Health Northwest Arkansas Communities | Rogers, AR | $26K |
| Mercy Hospital Fort Smith | Fort Smith, AR | $127.47 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.