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MERCY CLINIC SPRINGFIELD COMMUNITIES

Family Medicine·SPRINGFIELD, MO·NPI: 1245277631Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.5M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$51.5M

$51,482,075

Total Claims

1.1M

Beneficiaries

994K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+18%
2019
$2.0M
+87%
2020
$3.7M
+87%
2021
$6.9M
+41%
2022
$9.8M
+54%
2023
$15.1M
-19%
2024
$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$11.0M

163K claims · 21.4%

Your Cost: $67.55/claim|Median: $53.41
1.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$9.9M

157K claims · 19.3%

Your Cost: $63.34/claim|Median: $37.81
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.3M

61K claims · 4.4%

Your Cost: $37.24/claim|Median: $23.99
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.8M

18K claims · 3.5%

Your Cost: $99.08/claim|Median: $69.35
1.4× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$1.5M

13K claims · 3.0%

Your Cost: $120.60/claim|Median: $84.03
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$1.4M

11K claims · 2.8%

Your Cost: $135.06/claim|Median: $101.24
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.4M

15K claims · 2.8%

Your Cost: $98.35/claim|Median: $75.18
1.3× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$1.3M

15K claims · 2.5%

Your Cost: $83.49/claim|Median: $57.85
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.1M

23K claims · 2.1%

Your Cost: $47.63/claim|Median: $35.30
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$931K

16K claims · 1.8%

Your Cost: $56.53/claim|Median: $65.76
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$890K

9,145 claims · 1.7%

Your Cost: $97.34/claim|Median: $67.32
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$820K

7,645 claims · 1.6%

Your Cost: $107.22/claim|Median: $74.09
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$802K

20K claims · 1.6%

Your Cost: $40.01/claim|Median: $35.80
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$787K

7,527 claims · 1.5%

Your Cost: $104.61/claim|Median: $74.82
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$644K

11K claims · 1.3%

Your Cost: $59.71/claim|Median: $58.55
1.0× median
70450Normal range

CT head/brain without contrast

$633K

20K claims · 1.2%

Your Cost: $31.91/claim|Median: $45.53
0.7× median
70553Normal range

MRI brain without contrast, then with contrast

$565K

5,766 claims · 1.1%

Your Cost: $98.03/claim|Median: $133.68
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$565K

14K claims · 1.1%

Your Cost: $39.56/claim|Median: $54.68
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$531K

10K claims · 1.0%

Your Cost: $50.91/claim|Median: $25.06
2.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$490K

7,258 claims · 1.0%

Your Cost: $67.48/claim|Median: $58.82
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$415K

7,333 claims · 0.8%

Your Cost: $56.59/claim|Median: $43.85
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$373K

8,405 claims · 0.7%

Your Cost: $44.39/claim|Median: $36.79
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$349K

76K claims · 0.7%

Your Cost: $4.59/claim|Median: $5.60
0.8× median
71045Normal range

Chest X-ray, single view

$342K

66K claims · 0.7%

Your Cost: $5.19/claim|Median: $4.93
1.1× median
99309Normal range

Nursing facility care, subsequent, low complexity

$326K

14K claims · 0.6%

Your Cost: $22.77/claim|Median: $14.00
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$316K

5,919 claims · 0.6%

Your Cost: $53.33/claim|Median: $47.08
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$304K

2,473 claims · 0.6%

Your Cost: $123.08/claim|Median: $106.79
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$290K

3,491 claims · 0.6%

Your Cost: $83.17/claim|Median: $51.25
1.6× median
69436Normal range

Tympanostomy, general anesthesia

$271K

1,188 claims · 0.5%

Your Cost: $227.70/claim|Median: $205.50
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$262K

1,075 claims · 0.5%

Your Cost: $243.55/claim|Median: $151.68
1.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$255K

4,624 claims · 0.5%

Your Cost: $55.14/claim|Median: $74.78
0.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$244K

2,369 claims · 0.5%

Your Cost: $103.17/claim|Median: $80.15
1.3× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$244K

534 claims · 0.5%

Your Cost: $456.76/claim|Median: $283.78
1.6× median
59025Normal range

Fetal non-stress test

$240K

7,920 claims · 0.5%

Your Cost: $30.34/claim|Median: $26.45
1.1× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$218K

3,181 claims · 0.4%

Your Cost: $68.56/claim|Median: $59.38
1.2× median
71046Normal range

Chest X-ray, 2 views

$213K

32K claims · 0.4%

Your Cost: $6.71/claim|Median: $8.92
0.8× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$208K

1,773 claims · 0.4%

Your Cost: $117.60/claim|Median: $59.72
2.0× median
95886Normal range

$190K

2,043 claims · 0.4%

Your Cost: $92.99/claim|Median: $67.70
1.4× median
90723Top 25%

DTaP-HepB-IPV vaccine

$172K

9,030 claims · 0.3%

Your Cost: $19.04/claim|Median: $5.78
3.3× median
92134Normal range

$169K

10K claims · 0.3%

Your Cost: $16.87/claim|Median: $15.46
1.1× median
95951Normal range

$166K

1,508 claims · 0.3%

Your Cost: $109.84/claim|Median: $183.28
0.6× median
72148Normal range

MRI lumbar spine without contrast

$159K

2,675 claims · 0.3%

Your Cost: $59.40/claim|Median: $101.03
0.6× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$156K

9,884 claims · 0.3%

Your Cost: $15.78/claim|Median: $12.06
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$149K

6,215 claims · 0.3%

Your Cost: $24.04/claim|Median: $16.77
1.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$149K

3,531 claims · 0.3%

Your Cost: $42.20/claim|Median: $36.13
1.2× median
76820Top 25%

$136K

2,964 claims · 0.3%

Your Cost: $45.87/claim|Median: $31.79
1.4× median
70551Normal range

MRI brain without contrast

$135K

2,318 claims · 0.3%

Your Cost: $58.41/claim|Median: $85.39
0.7× median
71275Normal range

CT angiography, chest, with contrast

$125K

1,926 claims · 0.2%

Your Cost: $64.90/claim|Median: $92.96
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$125K

936 claims · 0.2%

Your Cost: $133.04/claim|Median: $233.73
0.6× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$124K

448 claims · 0.2%

Your Cost: $277.21/claim|Median: $331.68
0.8× median

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