Mercy Health Northwest Arkansas Communities
Mercy Health Northwest Arkansas Communities was paid $86K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoMERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
BELLA VISTA, AR 72714
BELLA VISTA, AR 72714
33aNPI1396173514assigned 10/25/2013
33bProvider typeAudiologist
28Total paid$86K
24GClaims3,119
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Audiologist providers in Arkansas
Rank by total paid#4 of 9
Median peer was paid$68K
This provider vs. median1.3×
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 | 646 | $20K | |
| 2019 | 1,421 | $41K | |
| 2020 | 441 | $10K | |
| 2021 | 216 | $6K | |
| 2022 | 51 | $2K | |
| 2023 | 210 | $5K | |
| 2024incomplete | 134 | $3K |
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 | 51% | 1,560 | 1,339 | $43K |
| 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 | 37% | 784 | 621 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 119 | 108 | $6K |
| 90686 | 1.0% | 100 | 93 | $863.17 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $676.92 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 13 | $676.92 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 12 | $620.51 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 216 | 79 | $560.25 |
| 90670 | <1% | 55 | 52 | $449.32 | |
| 90688 | <1% | 49 | 48 | $420.64 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 169 | 94 | $141.57 |
| 90723 | <1% | 14 | 12 | $95.60 |
1 more codes
| 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% | 12 | $6.14 |
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 Health Northwest Arkansas Communities | Rogers, AR | $8.38M |
| 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 |
| 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.