Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mercy Clinic Joplin LLC (NPI 1215264817)

Field	Value
Entity Type	Organization
Organization	Mercy Clinic Joplin LLC
Address	100 Mercy Way
City	Joplin
State	MO
ZIP	64804
Taxonomy	Family Medicine Physician
NPI Enumerated	November 3, 2009

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

173 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90,910	$50	$4.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	82,840	$60	$4.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	22,330	$90	$2.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	24,530	$40	$883.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8,130	$90	$707.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,480	$100	$673.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,080	$140	$571.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	11,070	$40	$476K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,720	$90	$438.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,460	$50	$414.4K

Showing 1–10 of 173

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Mercy Clinic Joplin LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

173 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	600	140	$170	$384.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	65	320	980	$40	$352.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	68	950	120	$150	$288.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	80	1,260	220	$120	$242.4K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	4	10	260	$390	$241.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	6	20	30	$450	$147.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4	90	120	$250	$141.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	5	30	90	$340	$140.3K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	25	30	50	$650	$137.5K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	26	50	150	$440	$131.7K

Showing 1–10 of 173

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Clinic Joplin LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Mercy Hospital Joplin	MO	General Acute Care Hospital	$0	$46.7M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
Mercy Hospital Carthage	MO	Critical Access Hospital	$0	$18.8M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$15.1M
West County Radiological Group, Inc.	MO	Diagnostic Radiology Physician	$0	$5.4M
Adam Carver	MO	Ophthalmology Physician	$2.2M	$0
Erica Ballard	MO	Ophthalmology Physician	$1.4M	$0
Robert Blair	HI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Mercy Clinic Joplin LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ozark Center	MO	Community/Behavioral Health Agency	$0	$165.3M
Jasper County Sheltered Facilities Assoc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$62.1M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$44.5M
Freeman-oak Hill Health System	MO	General Acute Care Hospital	$0	$33.2M
The Independent Living Center, Inc.	MO	Attendant Care Provider	$0	$24.7M
Jasper County Sheltered Facilities Board	MO	Case Management Agency	$0	$21.3M
Freeman-oak Hill Health System	MO	Multi-Specialty Clinic/Center	$0	$14.7M
Jasper County Sheltered Facilities Assoc	MO	Developmentally Disabled Services Day Training Agency	$0	$13.2M
The Independent Living Center, Inc.	MO	Personal Care Attendant	$0	$12.4M
Jasper County Sheltered Facilities Assc.	MO	Developmentally Disabled Services Day Training Agency	$0	$9.1M

Mercy Clinic Joplin LLC — Billing Profile & Reimbursement Data

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Mercy Clinic Joplin LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References