Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1457480188 · MOUNTAIN GROVE, MO 65711 · Family Nurse Practitioner · NPI assigned 03/06/2007

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

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

$1.08M
Total Medicaid Paid
15,913
Total Claims
13,782
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (CFO)
NPI Enumeration Date03/06/2007

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 LEBANON LEBANON MO $32.61M
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 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 3,641 $247K
2019 4,673 $341K
2020 2,330 $173K
2021 1,210 $61K
2022 1,275 $68K
2023 1,122 $78K
2024 1,662 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,815 11,859 $988K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,076 952 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 160 157 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 692 671 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 58 58 $6K
87400 58 32 $801.45
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 13 $430.48
85018 40 40 $90.28