Medicaid Provider Spending

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

MERCY ACO CLINICAL SERVICES INC

NPI: 1063965093 · CHESTERFIELD, MO 63017 · Professional Counselor · NPI assigned 07/26/2016

$952K
Total Medicaid Paid
8,715
Total Claims
7,414
Beneficiaries
24
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAFAZZA, BRIDGET (VP -VALUE FORCASTING & REV ANALYSIS)
NPI Enumeration Date07/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 389 $57K
2021 1,275 $181K
2022 1,632 $228K
2023 1,633 $158K
2024 3,786 $328K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99454 3,155 3,104 $472K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,124 885 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 666 544 $75K
90792 Psychiatric diagnostic evaluation with medical services 426 370 $73K
99232 Subsequent hospital care, per day, moderate complexity 1,350 752 $59K
99493 325 320 $41K
90791 Psychiatric diagnostic evaluation 260 254 $40K
99223 Prolong inpt eval add15 m 176 171 $26K
99222 Initial hospital care, per day, moderate complexity 159 154 $16K
99239 Hospital discharge day management, more than 30 minutes 199 196 $16K
99238 Hospital discharge day management, 30 minutes or less 200 191 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 71 41 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 261 116 $7K
99215 Prolong outpt/office vis 28 25 $5K
99217 54 53 $3K
99243 27 27 $3K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 113 101 $1K
99233 Prolong inpt eval add15 m 17 12 $1K
99220 17 16 $1K
99221 14 14 $1K
G2214 Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional 12 12 $520.89
95819 15 13 $444.14
99443 33 31 $57.65
99442 13 12 $12.71