Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1811065477 · BIRCH TREE, MO 65438 · Family Medicine Physician · NPI assigned 12/01/2006

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

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

$143K
Total Medicaid Paid
1,976
Total Claims
1,698
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (CFO)
NPI Enumeration Date12/01/2006

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 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 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 493 $35K
2019 128 $9K
2020 215 $15K
2021 17 $1K
2022 282 $17K
2023 319 $26K
2024 522 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,800 1,550 $137K
87428 28 28 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 27 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 31 $1K
87400 71 48 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $399.42