Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY CLINIC EAST COMMUNITIES

NPI: 1043574940 · SAINT LOUIS, MO 63141 · Allergy & Immunology Physician · NPI assigned 06/26/2012

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

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

$2.96M
Total Medicaid Paid
49,010
Total Claims
46,354
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY HEALTH EAST COMMUNITIES
NPI Enumeration Date06/26/2012

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 $2.82M
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 SURGICAL SPECIALISTS, LLC WASHINGTON MO $824K
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 2,138 $54K
2019 1,116 $30K
2020 4,418 $172K
2021 8,962 $404K
2022 11,418 $692K
2023 11,268 $848K
2024 9,690 $755K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,055 19,864 $1.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,411 19,283 $1.19M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 871 850 $83K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 607 603 $57K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,228 1,036 $26K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 168 166 $17K
90723 340 335 $12K
87428 195 191 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 150 149 $7K
99205 Prolong outpt/office vis 26 26 $6K
90686 754 751 $5K
87430 349 339 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 54 54 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 128 125 $5K
90670 493 486 $4K
90647 472 466 $3K
99215 Prolong outpt/office vis 29 25 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 54 53 $3K
99308 Subsequent nursing facility care, per day, straightforward 128 125 $3K
90680 263 260 $2K
87400 85 67 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 14 $2K
95251 53 53 $1K
36415 Collection of venous blood by venipuncture 663 628 $1K
99383 12 12 $1K
90633 68 68 $465.74
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) 204 192 $443.38
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 25 $408.77
87807 31 30 $384.44
83036 Hemoglobin; glycosylated (A1C) 25 25 $151.48
81003 25 25 $48.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 28 28 $0.00