Medicaid Provider Spending

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

MERCY HOSPITAL SPRINGFIELD

NPI: 1578504056 · SPRINGFIELD, MO 65804 · Air Ambulance · NPI assigned 06/08/2006

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

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

$64.60M
Total Medicaid Paid
416,929
Total Claims
367,523
Beneficiaries
173
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (VICE PRESIDENT FINANCE)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: ROBERTS, WILLIAM

ProviderCityStateTotal Paid
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 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 65,941 $20.30M
2019 68,970 $17.85M
2020 52,536 $6.89M
2021 50,638 $2.38M
2022 51,398 $4.20M
2023 64,522 $6.95M
2024 62,924 $6.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Y7506 82,874 68,082 $21.16M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,732 19,906 $6.41M
X4011 State-specific procedure code 21,117 19,858 $5.12M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 75,357 67,987 $4.30M
X4006 7,166 5,778 $3.32M
80053 Comprehensive metabolic panel 62,072 57,957 $3.31M
99283 Emergency department visit for the evaluation and management, moderate severity 15,161 14,753 $2.79M
42820 Tonsillectomy and adenoidectomy; younger than age 12 950 941 $2.71M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,857 1,814 $2.40M
99284 Emergency department visit for the evaluation and management, high severity 7,392 7,174 $1.81M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20,290 18,238 $1.52M
88305 Level IV - Surgical pathology, gross and microscopic examination 3,492 3,387 $874K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,188 1,157 $864K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,036 13,146 $777K
X4003 4,063 2,691 $589K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,388 2,523 $400K
88312 230 225 $388K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,092 2,958 $354K
0202U Oncology (prostate), multianalyte, gene expression profiling 980 961 $327K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,943 662 $323K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,800 1,434 $313K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,084 2,908 $261K
81003 4,798 3,919 $234K
71046 Radiologic examination, chest; 2 views 1,705 1,639 $227K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,461 880 $223K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,297 2,355 $198K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 387 317 $191K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,785 1,738 $188K
95810 Polysomnography; sleep staging with 4 or more additional parameters 394 384 $183K
43235 403 393 $170K
88300 289 284 $164K
71045 Radiologic examination, chest; single view 2,884 2,773 $162K
G0378 Hospital observation service, per hour 145 118 $157K
81001 2,623 2,536 $137K
J3490 Unclassified drugs 6,740 3,711 $124K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 353 131 $98K
82657 135 133 $98K
99282 Emergency department visit for the evaluation and management, low to moderate severity 627 616 $88K
62323 416 395 $81K
36415 Collection of venous blood by venipuncture 2,829 2,499 $81K
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 825 781 $80K
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 5,043 4,905 $64K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,759 616 $64K
47562 12 12 $58K
93798 932 178 $57K
95811 134 131 $53K
64635 68 63 $53K
83690 570 538 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 221 189 $45K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,082 374 $45K
80081 389 381 $37K
D7999 12 12 $35K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 360 335 $34K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 516 502 $34K
88342 259 251 $34K
42830 13 13 $33K
80048 Basic metabolic panel (calcium, ionized) 462 418 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 491 478 $31K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 119 97 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 972 951 $30K
82077 2,041 1,955 $30K
84484 2,075 1,762 $29K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 816 418 $25K
84443 Thyroid stimulating hormone (TSH) 522 502 $23K
81025 256 241 $23K
96375 Therapeutic injection; each additional sequential IV push 598 500 $22K
64493 52 42 $22K
82397 811 806 $22K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 26 26 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 45 44 $18K
87581 26 26 $17K
87486 26 26 $17K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 26 26 $17K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 238 235 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 153 151 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 81 75 $14K
83605 331 315 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 189 147 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $11K
64721 13 13 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 37 37 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 42 40 $10K
95819 41 41 $9K
95816 62 61 $9K
0099U 19 19 $7K
87081 40 40 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 93 49 $7K
83735 680 603 $7K
36591 178 63 $7K
43760 39 37 $6K
70450 Computed tomography, head or brain; without contrast material 131 126 $6K
84305 133 133 $5K
74018 139 138 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 147 146 $5K
59025 Fetal non-stress test 30 13 $5K
93296 309 306 $4K
85046 271 253 $4K
84100 153 102 $4K
87075 618 592 $4K
87070 618 593 $4K
Y7507 54 39 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 14 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 44 39 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12 12 $3K
87176 545 523 $3K
Q3014 Telehealth originating site facility fee 97 92 $3K
93797 52 13 $3K
87205 618 593 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 36 36 $3K
80143 158 151 $3K
76770 38 37 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 29 27 $3K
86803 37 36 $2K
94726 26 26 $2K
27096 15 12 $2K
82728 198 196 $2K
80179 125 121 $2K
85610 355 328 $2K
43762 25 24 $2K
97597 19 15 $2K
93226 27 27 $2K
84112 14 12 $2K
87186 164 158 $1K
95800 17 17 $1K
88304 40 40 $1K
77334 15 12 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 28 $1K
20553 12 12 $1K
83880 25 25 $1K
87077 107 102 $1K
83036 Hemoglobin; glycosylated (A1C) 111 111 $950.01
82784 101 101 $888.15
84140 15 15 $872.85
83550 96 96 $776.86
96156 13 12 $643.19
83540 97 97 $584.18
51798 25 25 $516.68
J2704 Injection, propofol, 10 mg 280 205 $332.87
82947 136 96 $325.93
J2405 Injection, ondansetron hydrochloride, per 1 mg 145 125 $278.00
J7050 Infusion, normal saline solution, 250 cc 289 188 $266.68
85730 97 96 $226.84
94729 14 14 $213.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $171.53
J7030 Infusion, normal saline solution , 1000 cc 189 180 $169.54
84702 12 12 $163.70
0641T 163 115 $156.48
0240U 17 16 $142.63
97161 15 13 $96.69
J3010 Injection, fentanyl citrate, 0.1 mg 487 418 $82.44
85014 64 55 $75.64
85018 63 55 $73.51
84703 13 12 $61.62
86140 38 37 $58.82
82962 30 15 $32.53
87086 Culture, bacterial; quantitative colony count, urine 45 43 $27.09
J2250 Injection, midazolam hydrochloride, per 1 mg 866 745 $22.55
J0171 Injection, adrenalin, epinephrine, 0.1 mg 16 12 $21.15
83655 68 67 $19.36
83615 19 12 $5.44
97116 36 27 $3.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $2.41
11045 70 26 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 90 76 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 143 130 $0.00
86850 12 12 $0.00
86592 13 13 $0.00
C1769 Guide wire 15 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 41 39 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 68 62 $0.00
C1776 Joint device (implantable) 14 13 $0.00
64636 15 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22 21 $0.00