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

Mercy Hospital Carthage

Mercy Hospital Carthage was paid $89K by Medicaid between Jan 2018 and Jul 2020, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 60% of everything it billed.

33Billing provider infoMERCY HOSPITAL CARTHAGE
CARTHAGE, MO 64836
33aNPI1992074959assigned 12/21/2011
28Total paid$89K
24GClaims1,183
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Rural Health Clinic/Center providers in Missouri

Rank by total paid#168 of 227
Median peer was paid$306K
This provider vs. median0.3×

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 CLOUSE DAY, SHERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018436$33K
2019505$41K
2020242$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60% 835 672 $53K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 321 289 $32K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 27 26 $4K

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 officialCLOUSE DAY, SHERRY (VP FINANCE MERCY CAH)
Same official

Other billing entities under CLOUSE DAY, SHERRY

Full network →
ProviderLocationPaid
Mercy Hospital CarthageCarthage, MO$18.78M
Mercy Hospital AuroraAurora, MO$9.91M
Mercy Hospital CassvilleCassville, MO$9.56M
Mercy Hospital Logan County INCGuthrie, OK$5.02M
Mercy Hospital BerryvilleBerryville, AR$2.86M
Mercy Hospital Healdton, INC.Healdton, OK$1.45M
Mercy Hospital BoonevilleBooneville, AR$1.31M
Mercy Hospital Watonga INCWatonga, OK$1.17M
Mercy Hospital WaldronWaldron, AR$1.17M
Mercy Hospital PerryPerryville, MO$1.05M
Mercy Hospital Logan County, INCGuthrie, OK$924K
Mercy Hospital OzarkOzark, AR$839K
Mercy Hospital ParisParis, AR$834K
Mercy Hospital CarthageCarthage, MO$788K
Mercy Hospital Kingfisher, INCKingfisher, OK$385K
Mercy Hospital ParisParis, AR$363K
Mercy Hospital OzarkOzark, AR$268K
Mercy Hospital BoonevilleBooneville, AR$200K
Mercy Hospital ParisParis, AR$152K
Mercy Hospital WaldronWaldron, AR$150K

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