Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1770612590 · LEBANON, MO 65536 · Family Nurse Practitioner · NPI assigned 03/05/2007

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

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

$2.19M
Total Medicaid Paid
31,377
Total Claims
27,630
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (VICE PRESIDENT FINANCE)
NPI Enumeration Date03/05/2007

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 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 12,690 $847K
2019 11,404 $880K
2020 5,360 $428K
2021 235 $5K
2022 507 $9K
2023 711 $17K
2024 470 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,599 22,150 $1.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,903 1,774 $136K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 558 545 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,577 2,495 $44K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 278 278 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 27 $2K
87400 129 66 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 45 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $1K
99238 Hospital discharge day management, 30 minutes or less 15 14 $790.72
81003 143 140 $371.85
85018 59 58 $197.94