Clinic
Community Mercy Health Partners
Community Mercy Health Partners was paid $1.16M by Medicaid between Jan 2020 and Nov 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 28% of everything it billed.
33Billing provider infoCOMMUNITY MERCY HEALTH PARTNERS
URBANA, OH 43078
URBANA, OH 43078
33aNPI1063066066assigned 07/29/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.16M
24GClaims66,231
24DCodes billed46
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Ohio
Rank by total paid#8 of 58
Median peer was paid$70K
This provider vs. median17×
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.
Entity ProliferationAuthorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 9,140 | $195K | |
| 2021 | 9,285 | $226K | |
| 2022 | 15,868 | $321K | |
| 2023 | 26,557 | $321K | |
| 2024incomplete | 5,381 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 28% | 11,441 | 7,481 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 11,801 | 9,544 | $292K |
| 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 | 21% | 7,069 | 5,810 | $243K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 7,552 | 3,550 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 1,810 | 1,478 | $56K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.4% | 1,092 | 604 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 817 | 636 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 659 | 525 | $19K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 672 | 408 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 433 | 332 | $14K |
| 90686 | <1% | 550 | 538 | $7K | |
| 90670 | <1% | 708 | 532 | $6K |
34 more codes
| 90651 | <1% | 123 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $4K |
| 90633 | <1% | 223 | $3K | |
| 90734 | <1% | 132 | $3K | |
| 90710 | <1% | 172 | $970.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | $597.52 |
| 90674 | <1% | 304 | $530.04 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 52 | $449.96 |
| 36415 | Collection of venous blood by venipuncture | <1% | 403 | $336.66 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $286.66 |
| 85018 | <1% | 191 | $199.71 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $182.28 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 52 | $125.39 |
| 90744 | <1% | 26 | $115.00 | |
| 90696 | <1% | 36 | $111.38 | |
| 90697 | <1% | 128 | $62.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $56.14 |
| 96160 | <1% | 13 | $46.80 | |
| 90698 | <1% | 18 | $10.00 | |
| 3017F | 0% | 293 | $0.00 | |
| 1036F | 0% | 2,210 | $0.00 | |
| 94760 | 0% | 15 | $0.00 | |
| 3074F | 0% | 50 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,290 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,416 | $0.00 |
| 4004F | 0% | 487 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,645 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 7,949 | $0.00 |
| 3078F | 0% | 57 | $0.00 | |
| 90681 | 0% | 37 | $0.00 | |
| 90715 | 0% | 12 | $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 officialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.