Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mercy Clinic Fort Smith Communities

Mercy Clinic Fort Smith Communities was paid $24.10M by Medicaid between Jan 2018 and Dec 2024, across 150 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoMERCY CLINIC FORT SMITH COMMUNITIES
FORT SMITH, AR 72903
33aNPI1902073620assigned 05/12/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$24.10M
24GClaims634,471
24DCodes billed150
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Arkansas

Rank by total paid#1 of 24
Median peer was paid$566K
This provider vs. median43×

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 WILCHER, GRETA controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201885,902$2.99M
201987,020$3.07M
202075,900$2.76M
2021105,224$3.76M
2022101,703$3.99M
202394,371$3.92M
2024incomplete84,351$3.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26% 138,601 117,782 $6.36M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 116,631 99,920 $3.54M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.8% 28,727 27,222 $2.11M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.2% 26,213 25,417 $1.74M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.9% 24,904 21,159 $1.42M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.0% 34,068 14,019 $971K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.7% 17,019 15,747 $902K
87428 3.1% 13,705 11,242 $740K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.1% 7,757 3,776 $739K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.2% 11,991 11,633 $541K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 9,139 7,829 $439K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 6,234 5,762 $331K
138 more codes
99460 1.3% 4,508 $302K
99223 Prolong inpt eval add15 m 1.2% 4,038 $296K
99233 Hospital visit by a doctor, follow-up day (complex) 1.0% 6,366 $243K
99204 Doctor's office visit, new patient (more involved) <1% 3,378 $238K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 22,488 $212K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 24,905 $206K
99238 Hospital discharge day management, 30 minutes or less <1% 4,043 $193K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,283 $146K
90670 <1% 11,835 $131K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,344 $121K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 122 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,974 $114K
90680 <1% 9,143 $103K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 560 $98K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,134 $97K
54150 <1% 612 $93K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,106 $89K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 619 $76K
90698 <1% 5,744 $71K
99215 Doctor's office visit, returning patient (complex) <1% 806 $64K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,769 $62K
90686 <1% 5,039 $60K
99239 Hospital discharge day management, more than 30 minutes <1% 1,752 $58K
36415 Collection of venous blood by venipuncture <1% 19,391 $56K
90633 <1% 4,901 $55K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 490 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,132 $51K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 189 $50K
90648 <1% 3,959 $44K
90697 <1% 2,888 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 790 $42K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,156 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 363 $33K
90723 <1% 3,017 $31K
0001A <1% 1,228 $28K
90961 <1% 1,067 $28K
90677 <1% 2,182 $28K
92567 <1% 2,534 $28K
90744 <1% 2,511 $27K
92587 <1% 614 $22K
99383 <1% 430 $21K
95816 <1% 276 $17K
90710 <1% 1,402 $16K
95117 <1% 1,819 $15K
99222 Initial hospital care, per day, moderate complexity <1% 286 $15K
99308 Subsequent nursing facility care, per day, straightforward <1% 872 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 454 $14K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 841 $14K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 479 $13K
90935 Hemodialysis procedure with single evaluation by a physician <1% 659 $13K
87807 <1% 1,298 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 324 $12K
90792 Psychiatric diagnostic evaluation with medical services <1% 102 $12K
99382 <1% 239 $11K
92557 <1% 404 $11K
87430 <1% 1,172 $11K
87400 <1% 1,322 $9K
90716 <1% 859 $9K
0002A <1% 459 $9K
90707 <1% 787 $9K
95811 <1% 106 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 967 $8K
99307 <1% 996 $8K
94010 <1% 372 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 100 $7K
71046 Radiologic examination, chest; 2 views <1% 620 $7K
99205 Prolong outpt/office vis <1% 92 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 137 $7K
90656 <1% 447 $7K
90685 <1% 729 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 85 $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 <1% 915 $6K
99381 <1% 101 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 202 $5K
95913 <1% 39 $5K
97597 <1% 286 $5K
99220 <1% 67 $4K
94726 <1% 521 $4K
92136 <1% 254 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 248 $4K
92002 <1% 71 $3K
94729 <1% 571 $3K
99463 <1% 37 $3K
90700 <1% 260 $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) <1% 2,014 $3K
0071A <1% 26 $2K
92015 Determination of refractive state <1% 102 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 254 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 375 $2K
90970 <1% 283 $2K
90651 <1% 142 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 44 $1K
90696 <1% 122 $1K
82962 <1% 633 $1K
94060 <1% 91 $1K
17250 <1% 97 $1K
99219 <1% 14 $1K
90962 <1% 58 $1K
92651 <1% 16 $982.54
90619 <1% 74 $876.97
92133 <1% 26 $861.27
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 133 $856.73
99443 <1% 58 $800.91
99442 <1% 62 $781.84
90688 <1% 99 $747.58
71020 <1% 57 $740.63
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 14 $735.18
99384 <1% 13 $733.33
81025 <1% 107 $679.81
59025 Fetal non-stress test <1% 15 $660.24
80053 Comprehensive metabolic panel <1% 58 $604.55
90715 <1% 51 $538.40
90734 <1% 40 $531.66
83655 <1% 62 $529.06
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 38 $483.07
95251 <1% 73 $441.48
92579 <1% 12 $399.10
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit <1% 335 $382.46
81003 <1% 662 $371.10
90681 <1% 31 $341.68
94727 <1% 46 $340.54
69210 <1% 19 $337.88
87420 <1% 33 $296.01
17000 <1% 15 $293.52
92083 <1% 13 $270.09
90655 <1% 24 $219.88
85018 <1% 126 $216.32
90381 <1% 13 $170.82
90649 <1% 13 $157.68
90380 <1% 18 $144.54
77080 <1% 68 $56.64
90785 <1% 15 $55.44
96127 <1% 13 $43.37
99441 <1% 18 $30.24
80069 <1% 13 $30.04
1036F 0% 19 $0.00
98960 0% 17 $0.00
99401 0% 21 $0.00

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 officialWILCHER, GRETA (CFO)
Same official

Other billing entities under WILCHER, GRETA

Full network →
ProviderLocationPaid
Mercy Hospital Fort SmithFort Smith, AR$22.48M
Mercy Hospital RogersRogers, AR$14.20M
Mercy Health Northwest Arkansas CommunitiesRogers, AR$8.38M
Mercy Clinic Fort Smith CommunitiesFort Smith, AR$2.28M
Mercy Hospital RogersRogers, AR$1.83M
Mercy Clinic Fort Smith CommunitiesFort Smith, AR$1.62M
Mercy Health Northwest Arkansas CommunitiesRogers, AR$318K
Mercy Hospital Fort SmithFort Smith, AR$298K
Mercy Health Northwest Arkansas CommunitiesRogers, AR$207K
Mercy Health Northwest Arkansas CommunitiesRogers, AR$104K
Mercy Health Northwest Arkansas CommunitiesBella Vista, AR$86K
ST Edward Mercy FoundationFort Smith, AR$74K
Mercy Health Northwest Arkansas CommunitiesRogers, AR$26K
Mercy Hospital Fort SmithFort Smith, AR$127.47

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