Medicaid Provider Spending

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

MERCY CLINIC SPRINGFIELD COMMUNITIES

NPI: 1922137645 · ROLLA, MO 65401 · Pediatrics Physician · NPI assigned 03/06/2007

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

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

$2.51M
Total Medicaid Paid
31,027
Total Claims
26,944
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, WILLIAM (CFO)
NPI Enumeration Date03/06/2007

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 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 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 11,018 $800K
2019 12,827 $1.11M
2020 5,972 $570K
2021 33 $464.24
2022 390 $8K
2023 379 $8K
2024 408 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,527 22,636 $2.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,281 1,233 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 837 837 $92K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 727 723 $89K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 259 259 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 705 696 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52 51 $5K
87400 283 154 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 39 $4K
87430 195 195 $3K
99460 12 12 $1K
87428 30 30 $1K
99238 Hospital discharge day management, 30 minutes or less 12 12 $908.14
87420 54 53 $743.64
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $451.87