Physician
Mercy Clinic Springfield Communities
Mercy Clinic Springfield Communities was paid $385K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoMERCY CLINIC SPRINGFIELD COMMUNITIES
WILLOW SPRINGS, MO 65793
WILLOW SPRINGS, MO 65793
33aNPI1972771657assigned 02/14/2008
33bProvider typeFamily Medicine Physician
28Total paid$385K
24GClaims6,209
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#61 of 911
Median peer was paid$16K
This provider vs. median25×
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 | 3,020 | $199K | |
| 2019 | 2,906 | $183K | |
| 2020 | 283 | $3K |
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 | 91% | 5,000 | 4,368 | $351K |
| 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 | 6.0% | 814 | 688 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 318 | 281 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | 15 | $662.40 |
| 99307 | <1% | 19 | 12 | $220.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 13 | $168.28 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | 13 | $12.48 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | 13 | $0.98 |
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 officialCAVAGNOL, ROBERT (CHIEF PHYSICIAN OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinic Springfield Communities | Lebanon, MO | $181K |
| Mercy Clinic-Springfield Communities | Rolla, MO | $162K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.