Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES

NPI: 1265490916 · ROGERS, AR 72758 · Multi-Specialty Clinic/Center · NPI assigned 05/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WILCHER, GRETA controls 14+ related entities in our dataset. Read more

$8.38M
Total Medicaid Paid
299,233
Total Claims
251,312
Beneficiaries
115
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILCHER, GRETA (CFO)
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: WILCHER, GRETA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 34,803 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 109,089 90,584 $2.96M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,891 45,380 $2.42M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,184 15,065 $890K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,345 8,263 $472K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,525 17,704 $167K
90838 1,084 991 $132K
90686 9,679 8,703 $113K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,146 1,863 $108K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,271 8,848 $106K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,158 2,038 $103K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,180 4,273 $98K
90670 8,202 7,772 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,297 1,940 $52K
0001A 1,799 1,742 $44K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,049 1,559 $41K
90680 3,424 3,322 $41K
90723 3,392 3,295 $40K
87428 1,354 634 $40K
90647 2,947 2,838 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 861 744 $38K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 380 285 $32K
99308 Subsequent nursing facility care, per day, straightforward 1,643 1,466 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 398 305 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 730 484 $20K
90677 1,538 1,519 $20K
69210 583 446 $16K
0071A 162 161 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 342 318 $15K
90698 1,246 1,128 $13K
90688 1,441 1,320 $13K
0002A 661 647 $13K
90656 717 715 $11K
90633 877 844 $10K
99310 Prolong nursin fac eval 15m 326 242 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 192 154 $9K
90697 565 556 $8K
90836 120 105 $8K
99238 Hospital discharge day management, 30 minutes or less 167 155 $8K
99232 Subsequent hospital care, per day, moderate complexity 290 98 $7K
87430 881 646 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 291 255 $7K
73110 414 207 $6K
99460 101 64 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,104 817 $5K
20610 133 115 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 51 42 $5K
83036 Hemoglobin; glycosylated (A1C) 894 668 $5K
59025 Fetal non-stress test 115 90 $4K
99215 Prolong outpt/office vis 38 38 $3K
99233 Prolong inpt eval add15 m 85 49 $3K
36415 Collection of venous blood by venipuncture 4,186 3,489 $3K
93000 248 230 $3K
84443 Thyroid stimulating hormone (TSH) 359 218 $2K
0072A 22 22 $2K
80053 Comprehensive metabolic panel 578 395 $2K
20611 26 25 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 64 41 $2K
99152 134 114 $2K
73140 134 66 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 12 $2K
87400 175 130 $2K
90744 151 137 $2K
87807 124 112 $1K
64615 13 12 $1K
90734 106 95 $1K
0081A 12 12 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28 27 $1K
93296 76 71 $1K
90685 133 116 $1K
85027 122 116 $927.97
99383 16 15 $915.15
99318 44 43 $838.39
99205 Prolong outpt/office vis 12 12 $831.89
73562 58 36 $756.35
99222 Initial hospital care, per day, moderate complexity 14 12 $739.20
73630 33 24 $691.64
72100 43 36 $673.32
86140 395 249 $648.82
90707 50 48 $643.86
90681 51 51 $610.46
73130 29 24 $592.30
71045 Radiologic examination, chest; single view 76 65 $567.98
73610 18 12 $557.24
99231 Subsequent hospital care, per day, straightforward or low complexity 19 13 $541.84
87420 70 41 $501.93
90716 39 38 $499.32
90682 16 15 $483.50
81003 1,155 1,018 $453.19
80061 Lipid panel 65 48 $450.20
76705 Ultrasound, abdominal, real time with image documentation; limited 33 25 $442.77
94060 12 12 $374.28
90651 32 29 $354.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 513 470 $348.55
81025 59 51 $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) 854 798 $317.13
90619 13 12 $305.63
73620 13 12 $289.00
85652 325 211 $284.48
80076 119 67 $268.41
90715 15 14 $238.50
84439 33 26 $213.29
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 12 $148.44
90380 12 12 $144.54
82565 102 56 $124.27
95251 70 66 $108.83
J1040 Injection, methylprednisolone acetate, 80 mg 64 59 $96.72
93294 12 12 $90.85
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 48 42 $75.20
96127 14 14 $61.76
93016 14 12 $38.98
J1030 Injection, methylprednisolone acetate, 40 mg 26 24 $10.15
87210 12 12 $0.00
99174 515 499 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21 15 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00