Physician
Mercy Physician Network
Mercy Physician Network was paid $11.14M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMERCY PHYSICIAN NETWORK
MUSKEGON, MI 49445
MUSKEGON, MI 49445
33aNPI1023056744assigned 06/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$11.14M
24GClaims345,652
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#10 of 816
Median peer was paid$70K
This provider vs. median158×
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 GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 45,020 | $1.52M | |
| 2019 | 47,094 | $1.51M | |
| 2020 | 30,454 | $1.09M | |
| 2021 | 46,681 | $1.51M | |
| 2022 | 52,316 | $1.76M | |
| 2023 | 60,422 | $2.09M | |
| 2024incomplete | 63,665 | $1.65M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 85,287 | 80,593 | $4.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 65,910 | 61,306 | $2.62M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.4% | 8,600 | 8,498 | $607K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.0% | 6,402 | 6,194 | $556K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.8% | 8,394 | 8,333 | $537K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 3,753 | 3,730 | $329K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 3,772 | 3,722 | $238K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 4,197 | 4,172 | $236K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 4,205 | 4,153 | $234K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 4,513 | 4,170 | $218K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 2,423 | 2,397 | $126K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16,748 | 14,710 | $71K |
75 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,836 | $39K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 964 | $36K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 2,675 | $34K |
| 17110 | <1% | 735 | $29K | |
| 99385 | <1% | 399 | $28K | |
| 98967 | <1% | 3,787 | $21K | |
| 98966 | <1% | 8,348 | $20K | |
| 99406 | <1% | 3,448 | $19K | |
| 99495 | <1% | 258 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 878 | $17K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 1,440 | $16K |
| 99205 | Prolong outpt/office vis | <1% | 122 | $16K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 255 | $13K |
| 99307 | <1% | 960 | $10K | |
| 99496 | <1% | 109 | $10K | |
| 99460 | <1% | 171 | $10K | |
| 99381 | <1% | 141 | $8K | |
| 98968 | <1% | 1,201 | $7K | |
| 20610 | <1% | 274 | $7K | |
| 99383 | <1% | 88 | $5K | |
| 99442 | <1% | 273 | $5K | |
| 93016 | <1% | 412 | $4K | |
| 98926 | <1% | 182 | $4K | |
| 99356 | <1% | 123 | $3K | |
| 93018 | <1% | 413 | $3K | |
| 99350 | Prolong home eval add 15m | <1% | 27 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 491 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 20 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | $1K |
| 98925 | <1% | 98 | $1K | |
| 99349 | <1% | 18 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 501 | $1K |
| 99386 | <1% | 13 | $1K | |
| 90686 | <1% | 326 | $1K | |
| 99443 | <1% | 70 | $955.70 | |
| 98928 | <1% | 29 | $923.34 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14 | $493.86 |
| 99417 | Prolong home eval add 15m | <1% | 13 | $493.64 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 17 | $440.14 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 39 | $381.75 |
| 93272 | <1% | 38 | $370.76 | |
| 99441 | <1% | 60 | $341.17 | |
| 98927 | <1% | 13 | $336.16 | |
| 99305 | <1% | 13 | $312.02 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $108.26 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $67.74 |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | $51.60 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $46.25 |
| 3074F | <1% | 29,739 | $25.01 | |
| 81002 | <1% | 12 | $11.08 | |
| 3008F | <1% | 5,504 | $0.01 | |
| 3079F | <1% | 10,632 | $0.01 | |
| 3075F | <1% | 5,996 | $0.01 | |
| 3078F | <1% | 26,035 | $0.01 | |
| 3080F | 0% | 2,029 | $0.00 | |
| 3052F | 0% | 388 | $0.00 | |
| S0250 | Comprehensive geriatric assessment and treatment planning performed by assessment team | 0% | 3,365 | $0.00 |
| 3044F | 0% | 5,458 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,341 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,288 | $0.00 |
| 1111F | 0% | 42 | $0.00 | |
| 4000F | 0% | 63 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14 | $0.00 |
| G9920 | Screening performed and negative | 0% | 1,379 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 165 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,251 | $0.00 |
| 3288F | 0% | 16 | $0.00 | |
| 3051F | 0% | 819 | $0.00 | |
| 3077F | 0% | 2,929 | $0.00 | |
| 3046F | 0% | 521 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 922 | $0.00 |
| 99001 | 0% | 13 | $0.00 | |
| 3045F | 0% | 27 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 80 | $0.00 |
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 officialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent organizationMERCY HEALTH PARTNERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.