Mercy Clinic Springfield Communities

Mercy Clinic Springfield Communities was paid $143K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
BIRCH TREE, MO 65438

33aNPI1811065477assigned 12/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$143K

24GClaims1,976

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#147 of 911

Median peer was paid$16K

This provider vs. median9.1×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	96%	1,800	1,550	$137K
87428		1.1%	28	28	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	29	27	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	34	31	$1K
87400		<1%	71	48	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	14	14	$399.42

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 officialROBERTS, WILLIAM (CFO)

Same official

Other billing entities under ROBERTS, WILLIAM

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.