Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1497887848 · CASSVILLE, MO 65625 · Family Medicine Physician · NPI assigned 03/12/2007

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

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

$1.22M
Total Medicaid Paid
18,498
Total Claims
16,845
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (CFO)
NPI Enumeration Date03/12/2007

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 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 5,100 $346K
2019 4,583 $324K
2020 3,295 $226K
2021 1,266 $68K
2022 1,762 $87K
2023 1,256 $75K
2024 1,236 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,847 14,572 $1.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 517 489 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 225 219 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 260 256 $10K
87400 634 367 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 463 452 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 120 112 $4K
87428 95 94 $3K
81003 307 255 $718.22
87420 30 29 $413.01