Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › FORT SMITH › MERCY CLINIC FORT SMITH COMMUNITIES

MERCY CLINIC FORT SMITH COMMUNITIES

NPI: 1902073620 · FORT SMITH, AR 72903 · Multi-Specialty Clinic/Center · NPI assigned 05/12/2008

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

Authorized official WILCHER, GRETA controls 14+ related entities in our dataset. Read more

$24.10M
Total Medicaid Paid
634,471
Total Claims
521,767
Beneficiaries
150
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILCHER, GRETA (CFO)
NPI Enumeration Date05/12/2008

Related Entities

Other providers sharing the same authorized official: WILCHER, GRETA

ProviderCityStateTotal Paid
MERCY HOSPITAL FORT SMITH FORT SMITH AR $22.48M
MERCY HOSPITAL ROGERS ROGERS AR $14.20M
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $8.38M
MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR $2.28M
MERCY HOSPITAL ROGERS ROGERS AR $1.83M
MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR $1.62M
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $318K
MERCY HOSPITAL FORT SMITH FORT SMITH AR $298K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $207K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $104K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES BELLA VISTA AR $86K
ST EDWARD MERCY FOUNDATION FORT SMITH AR $74K
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR $26K
MERCY HOSPITAL FORT SMITH FORT SMITH AR $127.47

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85,902 $2.99M
2019 87,020 $3.07M
2020 75,900 $2.76M
2021 105,224 $3.76M
2022 101,703 $3.99M
2023 94,371 $3.92M
2024 84,351 $3.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 138,601 117,782 $6.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116,631 99,920 $3.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28,727 27,222 $2.11M
99284 Emergency department visit for the evaluation and management, high severity 26,213 25,417 $1.74M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24,904 21,159 $1.42M
99232 Subsequent hospital care, per day, moderate complexity 34,068 14,019 $971K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,019 15,747 $902K
87428 13,705 11,242 $740K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,757 3,776 $739K
99283 Emergency department visit for the evaluation and management, moderate severity 11,991 11,633 $541K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,139 7,829 $439K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,234 5,762 $331K
99460 4,508 3,158 $302K
99223 Prolong inpt eval add15 m 4,038 3,527 $296K
99233 Prolong inpt eval add15 m 6,366 3,500 $243K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,378 2,862 $238K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22,488 11,035 $212K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24,905 19,879 $206K
99238 Hospital discharge day management, 30 minutes or less 4,043 3,720 $193K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,283 1,185 $146K
90670 11,835 11,357 $131K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,344 1,791 $121K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 122 91 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,974 3,939 $114K
90680 9,143 8,823 $103K
42820 Tonsillectomy and adenoidectomy; younger than age 12 560 349 $98K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,134 2,360 $97K
54150 612 549 $93K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,106 468 $89K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 619 529 $76K
90698 5,744 5,472 $71K
99215 Prolong outpt/office vis 806 687 $64K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,769 1,583 $62K
90686 5,039 4,485 $60K
99239 Hospital discharge day management, more than 30 minutes 1,752 1,648 $58K
36415 Collection of venous blood by venipuncture 19,391 17,218 $56K
90633 4,901 4,668 $55K
95810 Polysomnography; sleep staging with 4 or more additional parameters 490 374 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,132 1,015 $51K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 189 118 $50K
90648 3,959 3,828 $44K
90697 2,888 2,827 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 790 727 $42K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,156 879 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 363 252 $33K
90723 3,017 2,921 $31K
0001A 1,228 1,191 $28K
90961 1,067 717 $28K
90677 2,182 2,141 $28K
92567 2,534 2,206 $28K
90744 2,511 2,374 $27K
92587 614 556 $22K
99383 430 390 $21K
95816 276 195 $17K
90710 1,402 1,339 $16K
95117 1,819 781 $15K
99222 Initial hospital care, per day, moderate complexity 286 256 $15K
99308 Subsequent nursing facility care, per day, straightforward 872 856 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 454 390 $14K
T1015 Clinic visit/encounter, all-inclusive 841 649 $14K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 479 411 $13K
90935 Hemodialysis procedure with single evaluation by a physician 659 186 $13K
87807 1,298 1,075 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 324 298 $12K
90792 Psychiatric diagnostic evaluation with medical services 102 95 $12K
99382 239 213 $11K
92557 404 345 $11K
87430 1,172 895 $11K
87400 1,322 781 $9K
90716 859 818 $9K
0002A 459 456 $9K
90707 787 751 $9K
95811 106 83 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 967 161 $8K
99307 996 730 $8K
94010 372 314 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 100 87 $7K
71046 Radiologic examination, chest; 2 views 620 474 $7K
99205 Prolong outpt/office vis 92 78 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 137 116 $7K
90656 447 446 $7K
90685 729 696 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 85 63 $6K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 915 913 $6K
99381 101 97 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 202 188 $5K
95913 39 28 $5K
97597 286 180 $5K
99220 67 63 $4K
94726 521 477 $4K
92136 254 130 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 248 214 $4K
92002 71 70 $3K
94729 571 520 $3K
99463 37 27 $3K
90700 260 233 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,014 1,700 $3K
0071A 26 26 $2K
92015 Determination of refractive state 102 98 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 254 202 $2K
83036 Hemoglobin; glycosylated (A1C) 375 344 $2K
90970 283 24 $2K
90651 142 137 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 44 31 $1K
90696 122 119 $1K
82962 633 549 $1K
94060 91 82 $1K
17250 97 72 $1K
99219 14 13 $1K
90962 58 40 $1K
92651 16 14 $982.54
90619 74 71 $876.97
92133 26 24 $861.27
85025 Blood count; complete (CBC), automated, and automated differential WBC count 133 114 $856.73
99443 58 50 $800.91
99442 62 52 $781.84
90688 99 85 $747.58
71020 57 55 $740.63
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 12 $735.18
99384 13 12 $733.33
81025 107 101 $679.81
59025 Fetal non-stress test 15 12 $660.24
80053 Comprehensive metabolic panel 58 48 $604.55
90715 51 50 $538.40
90734 40 40 $531.66
83655 62 59 $529.06
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 38 38 $483.07
95251 73 66 $441.48
92579 12 12 $399.10
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 335 276 $382.46
81003 662 588 $371.10
90681 31 30 $341.68
94727 46 38 $340.54
69210 19 13 $337.88
87420 33 28 $296.01
17000 15 12 $293.52
92083 13 13 $270.09
90655 24 23 $219.88
85018 126 100 $216.32
90381 13 13 $170.82
90649 13 13 $157.68
90380 18 17 $144.54
77080 68 65 $56.64
90785 15 12 $55.44
96127 13 13 $43.37
99441 18 15 $30.24
80069 13 12 $30.04
1036F 19 16 $0.00
98960 17 13 $0.00
99401 21 20 $0.00