Medicaid Provider Spending

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

MERCY HOSPITAL HEALDTON, INC.

NPI: 1578710406 · HEALDTON, OK 73438 · Critical Access Hospital · NPI assigned 08/21/2008

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

Authorized official CLOUSE DAY, SHERRY controls 20+ related entities in our dataset. Read more

$1.45M
Total Medicaid Paid
13,915
Total Claims
13,448
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLOUSE DAY, SHERRY (VP FINANCE)
NPI Enumeration Date08/21/2008

Related Entities

Other providers sharing the same authorized official: CLOUSE DAY, SHERRY

ProviderCityStateTotal Paid
MERCY HOSPITAL CARTHAGE CARTHAGE MO $18.78M
MERCY HOSPITAL AURORA AURORA MO $9.91M
MERCY HOSPITAL CASSVILLE CASSVILLE MO $9.56M
MERCY HOSPITAL LOGAN COUNTY INC GUTHRIE OK $5.02M
MERCY HOSPITAL BERRYVILLE BERRYVILLE AR $2.86M
MERCY HOSPITAL BOONEVILLE BOONEVILLE AR $1.31M
MERCY HOSPITAL WATONGA INC WATONGA OK $1.17M
MERCY HOSPITAL WALDRON WALDRON AR $1.17M
MERCY HOSPITAL PERRY PERRYVILLE MO $1.05M
MERCY HOSPITAL LOGAN COUNTY, INC GUTHRIE OK $924K
MERCY HOSPITAL OZARK OZARK AR $839K
MERCY HOSPITAL PARIS PARIS AR $834K
MERCY HOSPITAL CARTHAGE CARTHAGE MO $788K
MERCY HOSPITAL KINGFISHER, INC KINGFISHER OK $385K
MERCY HOSPITAL PARIS PARIS AR $363K
MERCY HOSPITAL OZARK OZARK AR $268K
MERCY HOSPITAL BOONEVILLE BOONEVILLE AR $200K
MERCY HOSPITAL PARIS PARIS AR $152K
MERCY HOSPITAL WALDRON WALDRON AR $150K
MERCY HOSPITAL PERRY PERRYVILLE MO $131K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,492 $125K
2019 1,265 $97K
2020 905 $75K
2021 1,498 $149K
2022 3,476 $314K
2023 3,256 $413K
2024 2,023 $278K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,737 4,554 $763K
99284 Emergency department visit for the evaluation and management, high severity 1,388 1,291 $325K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 660 609 $233K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 340 334 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 603 595 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 346 341 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 858 840 $12K
87400 418 414 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,496 1,471 $10K
80053 Comprehensive metabolic panel 898 881 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 54 51 $8K
87428 277 274 $8K
87430 495 484 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 35 35 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 25 24 $3K
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 42 41 $3K
87081 375 372 $2K
36415 Collection of venous blood by venipuncture 539 524 $2K
71045 Radiologic examination, chest; single view 91 89 $1K
96375 Therapeutic injection; each additional sequential IV push 14 12 $983.06
87807 34 31 $402.86
81025 37 36 $245.12
81001 55 54 $144.69
83605 14 13 $113.19
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $97.36
81003 12 12 $25.27
J7030 Infusion, normal saline solution , 1000 cc 28 27 $13.00
J0696 Injection, ceftriaxone sodium, per 250 mg 31 26 $0.00