Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1770616781 · ST. ROBERT, MO 65584 · Family Nurse Practitioner · NPI assigned 03/13/2007

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

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

$1.68M
Total Medicaid Paid
26,022
Total Claims
24,378
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (CFO)
NPI Enumeration Date03/13/2007

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 LEBANON MO $2.19M
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 7,523 $505K
2019 6,936 $471K
2020 3,445 $229K
2021 1,677 $93K
2022 2,227 $128K
2023 2,013 $113K
2024 2,201 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 20,159 18,802 $1.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,343 1,276 $76K
87428 1,049 1,039 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,947 1,888 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 694 660 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 188 176 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 174 173 $7K
87400 333 232 $6K
81003 118 115 $238.42
87807 17 17 $216.31