Medicaid Provider Spending

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

MERCY HOSPITAL LEBANON

NPI: 1447284898 · LEBANON, MO 65536 · General Acute Care Hospital · NPI assigned 07/10/2006

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

Authorized official ROBERTS, WILLIAM controls 20+ related entities in our dataset. Read more

$32.61M
Total Medicaid Paid
238,985
Total Claims
196,313
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (VP FINANCE)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: ROBERTS, WILLIAM

ProviderCityStateTotal Paid
MERCY HOSPITAL SPRINGFIELD SPRINGFIELD MO $64.60M
MERCY HOSPITAL SPRINGFIELD SPRINGFIELD MO $46.74M
MERCY HOSPITAL SPRINGFIELD SPRINGFIELD MO $6.59M
MERCY HOSPITAL SPRINGFIELD BRANSON WEST MO $6.49M
MERCY CLINIC SPRINGFIELD COMMUNITIES ROLLA MO $2.51M
MERCY CLINIC SPRINGFIELD COMMUNITIES LEBANON MO $2.19M
MERCY CLINIC SPRINGFIELD COMMUNITIES ST. ROBERT MO $1.68M
MERCY CLINIC SPRINGFIELD COMMUNITIES CASSVILLE MO $1.22M
MERCY CLINIC SPRINGFIELD COMMUNITIES MOUNTAIN GROVE MO $1.08M
MERCY CLINIC SPRINGFIELD COMMUNITIES MOUNTAIN VIEW MO $1.08M
MERCY CLINIC SPRINGFIELD COMMUNITIES EL DORADO SPRINGS MO $997K
MERCY CLINIC SPRINGFIELD COMMUNITIES LEBANON MO $813K
MERCY CLINIC SPRINGFIELD COMMUNITIES SALEM MO $698K
MERCY CLINIC SPRINGFIELD COMMUNITIES BRANSON WEST MO $410K
MERCY CLINIC SPRINGFIELD COMMUNITIES STEELVILLE MO $368K
MERCY CLINIC SPRINGFIELD COMMUNITIES RICHLAND MO $222K
MERCY CLINIC SPRINGFIELD COMMUNITIES BIRCH TREE MO $143K
MERCY CLINIC SPRINGFIELD COMMUNITIES BUFFALO MO $127K
MERCY CLINIC SPRINGFIELD COMMUNITIES SUMMERSVILLE MO $112K
MERCY CLINIC SPRINGFIELD COMMUNITIES ROLLA MO $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,528 $10.86M
2019 33,636 $7.18M
2020 27,168 $3.39M
2021 32,449 $1.14M
2022 37,738 $2.94M
2023 39,178 $3.83M
2024 30,288 $3.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Y7506 35,491 31,026 $5.88M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 23,031 16,696 $5.13M
99284 Emergency department visit for the evaluation and management, high severity 25,599 19,894 $4.38M
99283 Emergency department visit for the evaluation and management, moderate severity 28,433 21,890 $4.04M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,982 22,262 $2.06M
X4011 State-specific procedure code 8,753 8,217 $1.42M
80053 Comprehensive metabolic panel 18,138 17,070 $1.37M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,216 8,565 $773K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,373 1,682 $684K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,033 1,447 $581K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,119 3,878 $550K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,595 1,385 $448K
81001 3,096 2,940 $430K
81003 4,057 3,886 $395K
71045 Radiologic examination, chest; single view 5,332 5,067 $392K
80048 Basic metabolic panel (calcium, ionized) 2,124 2,000 $381K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,619 1,004 $368K
83690 3,277 3,113 $263K
81025 1,433 1,382 $260K
71046 Radiologic examination, chest; 2 views 782 755 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 717 492 $220K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 688 680 $220K
87081 516 509 $168K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,291 1,214 $162K
X4003 1,577 940 $159K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 959 542 $151K
X4006 361 284 $131K
70450 Computed tomography, head or brain; without contrast material 413 393 $110K
84484 2,857 2,236 $107K
96375 Therapeutic injection; each additional sequential IV push 2,583 2,055 $103K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 852 837 $101K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 196 141 $97K
99282 Emergency department visit for the evaluation and management, low to moderate severity 803 624 $80K
87086 Culture, bacterial; quantitative colony count, urine 231 209 $77K
74177 Computed tomography, abdomen and pelvis; with contrast material 183 175 $68K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,113 998 $68K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,132 230 $59K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 613 398 $56K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 580 446 $52K
85610 611 578 $38K
Y7507 904 492 $35K
87807 80 79 $30K
G0378 Hospital observation service, per hour 64 63 $25K
85730 357 336 $22K
95811 40 40 $21K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 262 64 $21K
J3490 Unclassified drugs 4,326 2,820 $20K
96367 347 173 $17K
88305 Level IV - Surgical pathology, gross and microscopic examination 106 104 $13K
83735 416 394 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 71 65 $11K
82150 50 48 $11K
Q3014 Telehealth originating site facility fee 613 603 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 24 24 $9K
83880 408 387 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 146 142 $8K
87040 15 13 $7K
72125 Computed tomography, cervical spine; without contrast material 13 12 $5K
86140 336 318 $5K
87088 14 12 $4K
83605 136 125 $3K
73630 128 119 $2K
94761 28 28 $2K
82077 139 127 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 137 130 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 24 24 $2K
84443 Thyroid stimulating hormone (TSH) 160 145 $1K
80143 69 64 $1K
80179 66 61 $1K
96523 25 25 $615.40
86900 12 12 $408.00
J7050 Infusion, normal saline solution, 250 cc 711 414 $401.61
86901 12 12 $243.62
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 13 13 $200.00
J7030 Infusion, normal saline solution , 1000 cc 63 61 $144.14
84702 12 12 $94.18
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 15 13 $77.23
87400 28 28 $70.72
85379 17 15 $36.64
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 803 532 $17.63
J0171 Injection, adrenalin, epinephrine, 0.1 mg 18 12 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 18 12 $0.00