Behavioral
Mercy Hospital Lincoln
Mercy Hospital Lincoln was paid $10.53M by Medicaid between Jan 2018 and Nov 2024, across 81 billing codes. Its largest line is 99285, emergency room visit (most serious) — 19% of everything it billed.
33Billing provider infoMERCY HOSPITAL LINCOLN
TROY, MO 63379
TROY, MO 63379
33aNPI1962808733assigned 11/06/2014
33bProvider typeCounselor
28Total paid$10.53M
24GClaims118,717
24DCodes billed81
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in Missouri
Rank by total paid#3 of 91
Median peer was paid$31K
This provider vs. median338×
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.
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 | 10,221 | $1.61M | |
| 2019 | 9,669 | $1.43M | |
| 2020 | 8,617 | $748K | |
| 2021 | 18,947 | $600K | |
| 2022 | 19,268 | $1.50M | |
| 2023 | 29,503 | $2.52M | |
| 2024incomplete | 22,492 | $2.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19% | 8,343 | 5,794 | $2.03M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 14% | 15,436 | 14,662 | $1.50M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 11,467 | 8,459 | $1.35M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 7,483 | 5,888 | $1.27M |
| Y7506 | 12% | 12,577 | 12,010 | $1.26M | |
| X4011 | State-specific procedure code | 9.1% | 6,007 | 5,700 | $954K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.6% | 8,454 | 7,750 | $271K |
| 80053 | Comprehensive metabolic panel | 2.4% | 7,564 | 7,073 | $256K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 8,427 | 8,135 | $221K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.9% | 2,021 | 1,934 | $196K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,195 | 1,187 | $144K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.2% | 1,177 | 1,156 | $132K |
69 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,515 | $85K |
| 87081 | <1% | 3,764 | $84K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 705 | $83K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,753 | $73K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,086 | $73K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,129 | $51K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 163 | $45K |
| 87428 | <1% | 1,568 | $44K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,216 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 544 | $37K |
| 71045 | Radiologic examination, chest; single view | <1% | 728 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,233 | $32K |
| 87400 | <1% | 835 | $16K | |
| 73630 | <1% | 251 | $16K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 183 | $15K |
| 99223 | Prolong inpt eval add15 m | <1% | 133 | $14K |
| 81003 | <1% | 1,346 | $13K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 1,837 | $12K |
| G0378 | Hospital observation service, per hour | <1% | 14 | $12K |
| 84484 | <1% | 679 | $11K | |
| G0380 | Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) | <1% | 125 | $11K |
| 83690 | <1% | 245 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 128 | $10K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 54 | $9K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 26 | $9K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 26 | $9K |
| 81025 | <1% | 862 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 121 | $7K |
| 73610 | <1% | 93 | $7K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 46 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 97 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 130 | $5K |
| 73130 | <1% | 68 | $5K | |
| 87430 | <1% | 298 | $5K | |
| 81001 | <1% | 952 | $4K | |
| 85610 | <1% | 12 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 41 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 473 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 116 | $3K |
| 87077 | <1% | 331 | $2K | |
| 87807 | <1% | 195 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $2K |
| X4003 | <1% | 28 | $2K | |
| 85027 | <1% | 124 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $2K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 48 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 41 | $1K |
| 80306 | <1% | 69 | $1K | |
| J3490 | Unclassified drugs | <1% | 478 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 34 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 34 | $1K |
| 87186 | <1% | 112 | $838.03 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $621.74 |
| 87420 | <1% | 28 | $365.15 | |
| 83735 | <1% | 73 | $318.44 | |
| 87070 | <1% | 28 | $225.37 | |
| 86140 | <1% | 76 | $183.51 | |
| 82077 | <1% | 12 | $179.63 | |
| 97802 | <1% | 12 | $174.05 | |
| 87088 | <1% | 28 | $171.75 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 13 | $144.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | $136.74 |
| 85379 | <1% | 12 | $106.37 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $102.59 |
| 84703 | <1% | 15 | $78.54 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | $65.77 |
| 83605 | <1% | 18 | $47.64 | |
| 87205 | <1% | 13 | $47.51 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $20.36 |
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 officialTHORN, MARK (EXECUTIVE DIRECTOR FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospitals East Communities | Washington, MO | $25.34M |
| Mercy Hospitals East Communities | Washington, MO | $3.17M |
| Mercy Hospital Lincoln | Troy, MO | $930K |
| Mercy Hospital Lincoln | Troy, MO | $786K |
| Mercy Hospital Lincoln | Elsberry, MO | $183K |
| Mercy Hospital Lincoln | Winfield, MO | $135K |
| Mercy Hospital Lincoln | Troy, MO | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.