Mercy Hospital Jefferson

Mercy Hospital Jefferson was paid $27.83M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99285, emergency room visit (most serious) — 21% of everything it billed.

33Billing provider infoMERCY HOSPITAL JEFFERSON
FESTUS, MO 63028

33aNPI1508859661assigned 08/24/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$27.83M

24GClaims264,740

24DCodes billed120

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Missouri

Rank by total paid#13 of 74

Median peer was paid$4.44M

This provider vs. median6.3×

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.

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	32,287	$6.12M
2019	39,293	$5.62M
2020	32,269	$3.29M
2021	34,358	$1.71M
2022	38,239	$3.04M
2023	47,048	$4.34M
2024incomplete	41,246	$3.72M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	21%	34,917	27,016	$5.94M
Y7506		17%	33,842	28,948	$4.63M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	13%	24,099	18,942	$3.56M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	10%	24,404	18,487	$2.92M
X4011	State-specific procedure code	10%	12,018	11,344	$2.86M
85025	Blood count; complete (CBC), automated, and automated differential WBC count	6.5%	36,818	33,263	$1.80M
80053	Comprehensive metabolic panel	5.4%	32,522	30,080	$1.51M
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.8%	5,228	5,026	$512K
81001		1.6%	7,443	7,105	$444K
59025	Fetal non-stress test	1.3%	3,470	2,248	$364K
X4006		<1%	377	334	$248K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	2,862	2,692	$240K

108 more codes

93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	4,478	$235K
71045	Radiologic examination, chest; single view	<1%	4,091	$227K
X4003		<1%	1,686	$202K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	1,752	$157K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	3,330	$153K
97597		<1%	1,990	$146K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	738	$129K
84484		<1%	3,583	$112K
83690		<1%	1,336	$108K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	317	$104K
71046	Radiologic examination, chest; 2 views	<1%	410	$85K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	378	$84K
96375	Therapeutic injection; each additional sequential IV push	<1%	2,662	$83K
85610		<1%	1,090	$81K
84443	Thyroid stimulating hormone (TSH)	<1%	2,864	$71K
87086	Culture, bacterial; quantitative colony count, urine	<1%	382	$60K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	557	$51K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	727	$49K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	123	$43K
85730		<1%	303	$39K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	440	$37K
87081		<1%	503	$35K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	215	$33K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	124	$29K
83880		<1%	688	$29K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	94	$26K
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	<1%	942	$22K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	<1%	263	$20K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	245	$20K
81003		<1%	587	$17K
86140		<1%	282	$16K
85652		<1%	237	$15K
87631		<1%	46	$14K
36591		<1%	227	$14K
70450	Computed tomography, head or brain; without contrast material	<1%	147	$14K
82077		<1%	995	$14K
84703		<1%	228	$12K
80048	Basic metabolic panel (calcium, ionized)	<1%	148	$12K
81025		<1%	113	$12K
80076		<1%	174	$10K
87807		<1%	26	$10K
82565		<1%	147	$10K
85027		<1%	41	$9K
86235		<1%	62	$9K
93017		<1%	61	$9K
G0378	Hospital observation service, per hour	<1%	26	$8K
83516		<1%	77	$8K
0240U		<1%	66	$8K
82728		<1%	302	$8K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	77	$6K
83615		<1%	329	$6K
96361	Intravenous infusion, hydration; each additional hour	<1%	13	$6K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	47	$6K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	26	$5K
84466		<1%	195	$5K
86200		<1%	38	$4K
86225		<1%	40	$4K
87634		<1%	12	$4K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	39	$4K
83540		<1%	195	$4K
86431		<1%	37	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	31	$4K
36415	Collection of venous blood by venipuncture	<1%	698	$4K
96367		<1%	95	$3K
99213	Doctor's office visit, returning patient (routine)	<1%	105	$3K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	16	$3K
82746		<1%	121	$3K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	185	$3K
Y7507		<1%	52	$3K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	25	$2K
82607		<1%	94	$2K
95816		<1%	12	$2K
83735		<1%	608	$2K
82550		<1%	12	$1K
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	26	$976.25
99214	Doctor's office visit, returning patient (more involved)	<1%	13	$948.26
87653		<1%	13	$858.88
86160		<1%	12	$843.47
74018		<1%	12	$737.02
80061	Lipid panel	<1%	55	$694.62
86039		<1%	12	$667.47
73120		<1%	12	$639.68
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	12	$637.50
83036	Hemoglobin; glycosylated (A1C)	<1%	120	$556.10
86038		<1%	12	$495.93
77336		<1%	21	$403.42
84702		<1%	41	$363.07
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	15	$337.96
J3490	Unclassified drugs	<1%	1,798	$335.70
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	46	$189.73
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	27	$168.42
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	27	$168.42
83605		<1%	27	$167.46
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	15	$140.35
84165		<1%	13	$63.27
87088		<1%	13	$29.12
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	85	$28.35
J2704	Injection, propofol, 10 mg	<1%	292	$9.72
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	100	$0.00
J7030	Infusion, normal saline solution , 1000 cc	0%	76	$0.00
J7120	Ringers lactate infusion, up to 1000 cc	0%	180	$0.00
J0744	Injection, ciprofloxacin for intravenous infusion, 200 mg	0%	39	$0.00
A9270	Non-covered item or service	0%	68	$0.00
J7050	Infusion, normal saline solution, 250 cc	0%	59	$0.00
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	0%	16	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	15	$0.00
J3010	Injection, fentanyl citrate, 0.1 mg	0%	46	$0.00
J2003	Injection, lidocaine hydrochloride, 1 mg	0%	17	$0.00

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 officialECKENFELS, DAN (PRESIDENT)