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

Mercy Health Physicians Lorain, LLC

Mercy Health Physicians Lorain, LLC was paid $12.45M by Medicaid between Jan 2018 and Dec 2024, across 187 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoMERCY HEALTH PHYSICIANS LORAIN, LLC
LORAIN, OH 44053
33aNPI1023347192assigned 12/18/2009
33bProvider typeInternal Medicine Physician
28Total paid$12.45M
24GClaims1,011,697
24DCodes billed187
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#5 of 663
Median peer was paid$17K
This provider vs. median715×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
2018220,222$2.68M
2019188,223$2.52M
2020183,727$2.48M
2021216,323$2.52M
202283,439$900K
202365,062$684K
2024incomplete54,701$660K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 87,712 81,216 $4.52M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 101,523 91,850 $3.81M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.6% 33,708 13,547 $570K
90460 Immunization administration through 18 years of age via any route, first or only component 2.5% 20,048 7,994 $305K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 4,055 3,732 $211K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 3,273 3,221 $190K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 28,244 23,417 $168K
99223 Prolong inpt eval add15 m 1.3% 3,047 2,886 $159K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.1% 5,826 2,526 $135K
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 1.1% 1,890 1,822 $134K
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% 2,537 2,437 $118K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,613 3,445 $116K
175 more codes
99222 Initial hospital care, per day, moderate complexity <1% 3,761 $114K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,146 $104K
90832 Psychotherapy session, about 30 minutes <1% 2,797 $104K
99239 Hospital discharge day management, more than 30 minutes <1% 2,890 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,457 $84K
99254 <1% 1,188 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,838 $76K
99215 Doctor's office visit, returning patient (complex) <1% 1,213 $74K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,461 $71K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 5,035 $67K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,186 $64K
90791 Psychiatric diagnostic evaluation <1% 679 $60K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 727 $60K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 81 $50K
99308 Subsequent nursing facility care, per day, straightforward <1% 4,829 $49K
99460 <1% 607 $46K
59025 Fetal non-stress test <1% 1,915 $43K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 187 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 620 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,538 $38K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 290 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,647 $35K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,390 $32K
99442 <1% 1,670 $28K
90792 Psychiatric diagnostic evaluation with medical services <1% 459 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 446 $28K
81025 <1% 3,832 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 628 $23K
20553 <1% 762 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,241 $20K
99243 <1% 395 $20K
99238 Hospital discharge day management, 30 minutes or less <1% 624 $19K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 353 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,677 $19K
93000 <1% 1,478 $16K
90688 <1% 1,169 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 2,389 $14K
90674 <1% 613 $14K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 995 $13K
90686 <1% 1,964 $12K
90633 <1% 1,167 $10K
99422 <1% 450 $10K
95911 <1% 101 $10K
95886 <1% 292 $10K
99305 <1% 454 $9K
82962 <1% 5,742 $9K
H1000 Prenatal care, at-risk assessment <1% 128 $8K
43235 <1% 84 $8K
99384 <1% 107 $8K
95816 <1% 436 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 110 $7K
76942 <1% 236 $7K
95811 <1% 114 $7K
59430 <1% 69 $6K
99441 <1% 545 $5K
99443 <1% 310 $5K
43248 <1% 63 $5K
93458 <1% 53 $5K
99244 Office or other outpatient consultation, moderate to high complexity <1% 72 $5K
90670 <1% 2,984 $5K
99253 <1% 104 $5K
95913 <1% 37 $4K
20611 <1% 91 $4K
95250 <1% 50 $4K
93018 <1% 318 $3K
0064A <1% 41 $3K
90834 Psychotherapy session, about 45 minutes <1% 59 $3K
94060 <1% 332 $2K
99385 <1% 38 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $2K
59514 <1% 12 $2K
90648 <1% 1,578 $2K
64445 <1% 49 $2K
99221 <1% 79 $2K
51798 <1% 157 $2K
90698 <1% 1,130 $2K
81003 <1% 928 $1K
99423 <1% 43 $1K
J1071 Injection, testosterone cypionate, 1 mg <1% 268 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 183 $1K
90723 <1% 1,075 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 180 $1K
94726 <1% 422 $1K
94729 <1% 420 $1K
99255 <1% 12 $1K
86756 <1% 118 $1K
90681 <1% 1,163 $1K
99220 <1% 14 $1K
96160 <1% 303 $1K
99283 Emergency room visit (moderate) <1% 28 $1K
99383 <1% 14 $970.52
36415 Collection of venous blood by venipuncture <1% 457 $966.91
99205 Prolong outpt/office vis <1% 16 $965.88
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 39 $797.10
95912 <1% 13 $697.36
93970 <1% 25 $670.92
93880 <1% 26 $668.14
20610 <1% 15 $642.87
36573 <1% 16 $580.53
90744 <1% 666 $551.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 64 $532.48
99201 <1% 25 $496.10
99307 <1% 107 $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 <1% 46 $491.11
99177 <1% 71 $483.00
93923 <1% 25 $453.50
99462 <1% 13 $452.21
90661 <1% 17 $444.04
99310 Prolong nursin fac eval 15m <1% 15 $423.15
91200 <1% 37 $417.15
99304 <1% 28 $388.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 226 $365.60
G0008 Administration of influenza virus vaccine <1% 53 $363.30
90734 <1% 79 $349.30
69210 <1% 12 $333.29
90685 <1% 329 $324.90
90680 <1% 153 $321.00
90716 <1% 321 $291.30
90472 Immunization administration, each additional vaccine (list separately) <1% 43 $285.02
90707 <1% 306 $281.30
95251 <1% 14 $253.62
99406 <1% 38 $242.89
90696 <1% 122 $220.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 45 $199.50
92552 <1% 17 $184.23
99173 <1% 75 $179.74
73564 <1% 15 $173.70
11721 <1% 12 $170.55
90651 <1% 100 $163.10
90710 <1% 134 $140.00
90700 <1% 267 $130.00
90653 <1% 12 $114.80
87077 <1% 14 $96.76
81002 <1% 27 $59.35
0502F <1% 1,084 $56.52
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 29 $56.03
90461 <1% 990 $52.50
90715 <1% 17 $31.25
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13 $27.20
91306 <1% 35 $0.28
91301 <1% 29 $0.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 162,542 $0.06
2022F <1% 9,162 $0.03
3074F <1% 3,762 $0.02
3078F <1% 2,989 $0.02
1123F 0% 6,070 $0.00
1036F 0% 99,718 $0.00
3017F 0% 46,750 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 6,997 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 10,892 $0.00
3079F 0% 1,012 $0.00
3014F 0% 511 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 9,844 $0.00
3075F 0% 426 $0.00
3044F 0% 1,082 $0.00
G8926 Spirometry test not performed or documented, reason not given 0% 1,794 $0.00
1101F 0% 487 $0.00
3052F 0% 258 $0.00
1111F 0% 44 $0.00
99024 0% 79 $0.00
90620 0% 15 $0.00
99000 0% 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 102,513 $0.00
4004F 0% 44,398 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 88,539 $0.00
G8482 Influenza immunization administered or previously received 0% 11,860 $0.00
3046F 0% 2,753 $0.00
4040F 0% 1,469 $0.00
3045F 0% 622 $0.00
3023F 0% 1,843 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 1,583 $0.00
1090F 0% 481 $0.00
3051F 0% 374 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 36 $0.00
T1015 A visit at a community health center or clinic (one all-in rate) 0% 13 $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 officialDACRE, OLIVIA (CFO, MEDICAL GROUP)
Same official

Other billing entities under DACRE, OLIVIA

Full network →
ProviderLocationPaid
Mercy Health Physicians Youngstown Specialty Care LLCYoungstown, OH$11.81M
Mercy Health Physicians Lorain Specialty Care LLCLorain, OH$4.76M
Mercy Medical Partners Northern Region LLCDefiance, OH$2.68M

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