Medicaid Provider Spending

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

MERCY HOSPITAL CARTHAGE

NPI: 1285904342 · CARTHAGE, MO 64836 · Pediatrics Physician · NPI assigned 01/06/2012

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

Authorized official CLOUSE DAY, SHERRY controls 20+ related entities in our dataset. Read more

$788K
Total Medicaid Paid
7,409
Total Claims
6,974
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCLOUSE DAY, SHERRY (VP FINANCE MERCY CAH)
NPI Enumeration Date01/06/2012

Related Entities

Other providers sharing the same authorized official: CLOUSE DAY, SHERRY

ProviderCityStateTotal Paid
MERCY HOSPITAL CARTHAGE CARTHAGE MO $18.78M
MERCY HOSPITAL AURORA AURORA MO $9.91M
MERCY HOSPITAL CASSVILLE CASSVILLE MO $9.56M
MERCY HOSPITAL LOGAN COUNTY INC GUTHRIE OK $5.02M
MERCY HOSPITAL BERRYVILLE BERRYVILLE AR $2.86M
MERCY HOSPITAL HEALDTON, INC. HEALDTON OK $1.45M
MERCY HOSPITAL BOONEVILLE BOONEVILLE AR $1.31M
MERCY HOSPITAL WATONGA INC WATONGA OK $1.17M
MERCY HOSPITAL WALDRON WALDRON AR $1.17M
MERCY HOSPITAL PERRY PERRYVILLE MO $1.05M
MERCY HOSPITAL LOGAN COUNTY, INC GUTHRIE OK $924K
MERCY HOSPITAL OZARK OZARK AR $839K
MERCY HOSPITAL PARIS PARIS AR $834K
MERCY HOSPITAL KINGFISHER, INC KINGFISHER OK $385K
MERCY HOSPITAL PARIS PARIS AR $363K
MERCY HOSPITAL OZARK OZARK AR $268K
MERCY HOSPITAL BOONEVILLE BOONEVILLE AR $200K
MERCY HOSPITAL PARIS PARIS AR $152K
MERCY HOSPITAL WALDRON WALDRON AR $150K
MERCY HOSPITAL PERRY PERRYVILLE MO $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,980 $305K
2019 2,876 $309K
2020 1,462 $170K
2024 91 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,306 3,949 $418K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 856 848 $126K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 759 755 $110K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 404 400 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 866 823 $51K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 63 63 $10K
90648 52 52 $8K
99238 Hospital discharge day management, 30 minutes or less 61 51 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $2K
99460 30 21 $1K