Mercy Clinic East Communities
Mercy Clinic East Communities was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
SAINT LOUIS, MO 63141
Next to other Allergy & Immunology Physician providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 9,690 | $755K |
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 | 51% | 21,055 | 19,864 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 20,411 | 19,283 | $1.19M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 871 | 850 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 607 | 603 | $57K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,228 | 1,036 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 168 | 166 | $17K |
| 90723 | <1% | 340 | 335 | $12K | |
| 87428 | <1% | 195 | 191 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 150 | 149 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 26 | 26 | $6K |
| 90686 | <1% | 754 | 751 | $5K | |
| 87430 | <1% | 349 | 339 | $5K |
20 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 128 | $5K |
| 90670 | <1% | 493 | $4K | |
| 90647 | <1% | 472 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 54 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 128 | $3K |
| 90680 | <1% | 263 | $2K | |
| 87400 | <1% | 85 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 95251 | <1% | 53 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 663 | $1K |
| 99383 | <1% | 12 | $1K | |
| 90633 | <1% | 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) | <1% | 204 | $443.38 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $408.77 |
| 87807 | <1% | 31 | $384.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $151.48 |
| 81003 | <1% | 25 | $48.77 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 28 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.