Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › LORAIN › MERCY HEALTH PHYSICIANS LORAIN, LLC

MERCY HEALTH PHYSICIANS LORAIN, LLC

NPI: 1023347192 · LORAIN, OH 44053 · Internal Medicine Physician · NPI assigned 12/18/2009

$12.45M
Total Medicaid Paid
1,011,697
Total Claims
878,889
Beneficiaries
187
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDACRE, OLIVIA (CFO, MEDICAL GROUP)
NPI Enumeration Date12/18/2009

Related Entities

Other providers sharing the same authorized official: DACRE, OLIVIA

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH $11.81M
MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC LORAIN OH $4.76M
MERCY MEDICAL PARTNERS NORTHERN REGION LLC DEFIANCE OH $2.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220,222 $2.68M
2019 188,223 $2.52M
2020 183,727 $2.48M
2021 216,323 $2.52M
2022 83,439 $900K
2023 65,062 $684K
2024 54,701 $660K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87,712 81,216 $4.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101,523 91,850 $3.81M
99232 Subsequent hospital care, per day, moderate complexity 33,708 13,547 $570K
90460 Immunization administration through 18 years of age via any route, first or only component 20,048 7,994 $305K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,055 3,732 $211K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,273 3,221 $190K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 28,244 23,417 $168K
99223 Prolong inpt eval add15 m 3,047 2,886 $159K
99233 Prolong inpt eval add15 m 5,826 2,526 $135K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,890 1,822 $134K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,537 2,437 $118K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,613 3,445 $116K
99222 Initial hospital care, per day, moderate complexity 3,761 3,444 $114K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,146 1,120 $104K
90832 Psychotherapy, 30 minutes with patient 2,797 1,971 $104K
99239 Hospital discharge day management, more than 30 minutes 2,890 2,686 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,457 1,440 $84K
99254 1,188 1,128 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,838 717 $76K
99215 Prolong outpt/office vis 1,213 1,155 $74K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,461 3,176 $71K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,035 3,675 $67K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,186 2,093 $64K
90791 Psychiatric diagnostic evaluation 679 654 $60K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 727 704 $60K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 81 77 $50K
99308 Subsequent nursing facility care, per day, straightforward 4,829 3,418 $49K
99460 607 590 $46K
59025 Fetal non-stress test 1,915 1,368 $43K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 187 182 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 620 611 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,538 1,444 $38K
45380 Colonoscopy, flexible; with biopsy, single or multiple 290 281 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,647 2,370 $35K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,390 1,266 $32K
99442 1,670 1,595 $28K
90792 Psychiatric diagnostic evaluation with medical services 459 436 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 446 439 $28K
81025 3,832 3,709 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 628 621 $23K
20553 762 722 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,241 1,184 $20K
99243 395 382 $20K
99238 Hospital discharge day management, 30 minutes or less 624 607 $19K
95810 Polysomnography; sleep staging with 4 or more additional parameters 353 343 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,677 1,622 $19K
93000 1,478 1,406 $16K
90688 1,169 1,119 $14K
83036 Hemoglobin; glycosylated (A1C) 2,389 2,309 $14K
90674 613 570 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity 995 675 $13K
90686 1,964 1,939 $12K
90633 1,167 1,142 $10K
99422 450 434 $10K
95911 101 98 $10K
95886 292 281 $10K
99305 454 409 $9K
82962 5,742 5,542 $9K
H1000 Prenatal care, at-risk assessment 128 125 $8K
43235 84 82 $8K
99384 107 106 $8K
95816 436 398 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 110 107 $7K
76942 236 205 $7K
95811 114 112 $7K
59430 69 69 $6K
99441 545 529 $5K
99443 310 286 $5K
43248 63 60 $5K
93458 53 52 $5K
99244 Office or other outpatient consultation, moderate to high complexity 72 70 $5K
90670 2,984 2,903 $5K
99253 104 103 $5K
95913 37 37 $4K
20611 91 78 $4K
95250 50 49 $4K
93018 318 295 $3K
0064A 41 41 $3K
90834 Psychotherapy, 45 minutes with patient 59 44 $3K
94060 332 312 $2K
99385 38 33 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 13 $2K
59514 12 12 $2K
90648 1,578 1,519 $2K
64445 49 41 $2K
99221 79 75 $2K
51798 157 149 $2K
90698 1,130 1,111 $2K
81003 928 837 $1K
99423 43 43 $1K
J1071 Injection, testosterone cypionate, 1 mg 268 174 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 183 164 $1K
90723 1,075 1,033 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 180 159 $1K
94726 422 407 $1K
94729 420 405 $1K
99255 12 12 $1K
86756 118 113 $1K
90681 1,163 1,129 $1K
99220 14 13 $1K
96160 303 297 $1K
99283 Emergency department visit for the evaluation and management, moderate severity 28 28 $1K
99383 14 14 $970.52
36415 Collection of venous blood by venipuncture 457 425 $966.91
99205 Prolong outpt/office vis 16 16 $965.88
99282 Emergency department visit for the evaluation and management, low to moderate severity 39 39 $797.10
95912 13 12 $697.36
93970 25 25 $670.92
93880 26 26 $668.14
20610 15 12 $642.87
36573 16 16 $580.53
90744 666 651 $551.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 64 64 $532.48
99201 25 25 $496.10
99307 107 84 $493.76
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 46 45 $491.11
99177 71 70 $483.00
93923 25 25 $453.50
99462 13 13 $452.21
90661 17 17 $444.04
99310 Prolong nursin fac eval 15m 15 12 $423.15
91200 37 36 $417.15
99304 28 26 $388.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 226 204 $365.60
G0008 Administration of influenza virus vaccine 53 50 $363.30
90734 79 76 $349.30
69210 12 12 $333.29
90685 329 324 $324.90
90680 153 148 $321.00
90716 321 309 $291.30
90472 Immunization administration, each additional vaccine (list separately) 43 27 $285.02
90707 306 294 $281.30
95251 14 12 $253.62
99406 38 38 $242.89
90696 122 118 $220.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 45 45 $199.50
92552 17 16 $184.23
99173 75 75 $179.74
73564 15 12 $173.70
11721 12 12 $170.55
90651 100 98 $163.10
90710 134 129 $140.00
90700 267 255 $130.00
90653 12 12 $114.80
87077 14 14 $96.76
81002 27 26 $59.35
0502F 1,084 709 $56.52
J1885 Injection, ketorolac tromethamine, per 15 mg 29 26 $56.03
90461 990 290 $52.50
90715 17 15 $31.25
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $27.20
91306 35 35 $0.28
91301 29 29 $0.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 162,542 146,938 $0.06
2022F 9,162 8,609 $0.03
3074F 3,762 3,316 $0.02
3078F 2,989 2,619 $0.02
1123F 6,070 4,524 $0.00
1036F 99,718 89,332 $0.00
3017F 46,750 42,717 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 6,997 6,477 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 10,892 8,935 $0.00
3079F 1,012 914 $0.00
3014F 511 468 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 9,844 8,899 $0.00
3075F 426 382 $0.00
3044F 1,082 1,048 $0.00
G8926 Spirometry test not performed or documented, reason not given 1,794 1,723 $0.00
1101F 487 339 $0.00
3052F 258 254 $0.00
1111F 44 39 $0.00
99024 79 71 $0.00
90620 15 13 $0.00
99000 17 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 102,513 92,646 $0.00
4004F 44,398 40,075 $0.00
G8484 Influenza immunization was not administered, reason not given 88,539 78,917 $0.00
G8482 Influenza immunization administered or previously received 11,860 10,719 $0.00
3046F 2,753 2,610 $0.00
4040F 1,469 1,396 $0.00
3045F 622 603 $0.00
3023F 1,843 1,767 $0.00
G8598 Aspirin or another antiplatelet therapy used 1,583 1,494 $0.00
1090F 481 461 $0.00
3051F 374 366 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 36 36 $0.00
T1015 Clinic visit/encounter, all-inclusive 13 12 $0.00