Hospital
Mercy Hospital Healdton, INC.
Mercy Hospital Healdton, INC. was paid $1.45M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99283, emergency room visit (moderate) — 53% of everything it billed.
33Billing provider infoMERCY HOSPITAL HEALDTON, INC.
HEALDTON, OK 73438
HEALDTON, OK 73438
33aNPI1578710406assigned 08/21/2008
33bProvider typeCritical Access Hospital
28Total paid$1.45M
24GClaims13,915
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Oklahoma
Rank by total paid#10 of 40
Median peer was paid$427K
This provider vs. median3.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CLOUSE DAY, SHERRY controls 20+ related entities in our dataset. Read more
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 | 1,492 | $125K | |
| 2019 | 1,265 | $97K | |
| 2020 | 905 | $75K | |
| 2021 | 1,498 | $149K | |
| 2022 | 3,476 | $314K | |
| 2023 | 3,256 | $413K | |
| 2024incomplete | 2,023 | $278K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 53% | 4,737 | 4,554 | $763K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 1,388 | 1,291 | $325K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 660 | 609 | $233K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 340 | 334 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 603 | 595 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 346 | 341 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 858 | 840 | $12K |
| 87400 | <1% | 418 | 414 | $10K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,496 | 1,471 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 898 | 881 | $9K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 54 | 51 | $8K |
| 87428 | <1% | 277 | 274 | $8K |
16 more codes
| 87430 | <1% | 495 | $7K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 35 | $4K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 25 | $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 | <1% | 42 | $3K |
| 87081 | <1% | 375 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 539 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 91 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 14 | $983.06 |
| 87807 | <1% | 34 | $402.86 | |
| 81025 | <1% | 37 | $245.12 | |
| 81001 | <1% | 55 | $144.69 | |
| 83605 | <1% | 14 | $113.19 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $97.36 |
| 81003 | <1% | 12 | $25.27 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 28 | $13.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 31 | $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 officialCLOUSE DAY, SHERRY (VP FINANCE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.