Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › WASHINGTON › MERCY CLINIC SURGICAL SPECIALISTS, LLC

MERCY CLINIC SURGICAL SPECIALISTS, LLC

NPI: 1043530538 · WASHINGTON, MO 63090 · Surgery Physician · NPI assigned 06/07/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more

$824K
Total Medicaid Paid
17,369
Total Claims
16,079
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY CLINIC EAST COMMUNITIES
NPI Enumeration Date06/07/2010

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

ProviderCityStateTotal Paid
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $22.20M
ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C. SAINT LOUIS MO $4.15M
MERCY CLINIC ADULT HOSPITALISTS- JEFFERSON, LLC FESTUS MO $3.20M
MERCY CLINIC HEART AND VASCULAR, LLC SAINT LOUIS MO $3.11M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.96M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.82M
MERCY CLINIC MATERNAL FETAL MEDICINE LLC SAINT LOUIS MO $2.68M
MERCY CLINIC ADULT HOSPITALISTS - ST. LOUIS, LLC SAINT LOUIS MO $2.49M
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC SAINT LOUIS MO $2.08M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $1.58M
MERCY CLINIC ADULT PSYCHIATRY, LLC FESTUS MO $1.29M
MERCY CLINIC ONCOLOGY, LLC WASHINGTON MO $1.29M
MERCY CLINIC KIDS GI, LLC SAINT LOUIS MO $1.12M
MERCY EAST SUPPORT SERVICES, LLC SAINT LOUIS MO $1.08M
MERCY CLINIC CHILDREN'S HEART CENTER, LLC ST LOUIS MO $1.00M
MERCY CLINIC CHILDREN'S SURGERY, LLC ST. LOUIS MO $829K
MERCY CLINIC EAST COMMUNITIES SULLIVAN MO $791K
MERCY CLINIC NEUROLOGY, LLC SAINT LOUIS MO $784K
MERCY WOMENS SERVICES LLC SAINT LOUIS MO $783K
MERCY CLINIC ADULT CRITICAL CARE, LLC SAINT LOUIS MO $747K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 617 $12K
2019 1,007 $22K
2020 1,092 $32K
2021 1,888 $57K
2022 3,218 $155K
2023 5,227 $298K
2024 4,320 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,218 6,782 $336K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,773 1,734 $140K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,826 1,688 $111K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 542 539 $63K
20610 1,376 1,216 $49K
93970 2,393 2,218 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 388 361 $15K
99205 Prolong outpt/office vis 70 69 $11K
97597 568 381 $10K
99215 Prolong outpt/office vis 87 85 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26 25 $8K
97803 142 139 $6K
73564 208 173 $5K
93971 256 248 $3K
73610 191 158 $3K
73630 116 109 $2K
99233 Prolong inpt eval add15 m 40 26 $2K
99222 Initial hospital care, per day, moderate complexity 29 27 $2K
99223 Prolong inpt eval add15 m 15 13 $1K
99232 Subsequent hospital care, per day, moderate complexity 23 13 $886.63
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13 13 $397.47
73562 12 12 $246.04
93923 14 14 $190.81
73030 19 12 $150.99
J1010 Injection, methylprednisolone acetate, 1 mg 12 12 $9.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $5.82