Mercy Aco Clinical Services INC

Mercy Aco Clinical Services INC was paid $952K by Medicaid between May 2020 and Dec 2024, across 24 billing codes. Its largest line is 99454, — 50% of everything it billed.

33Billing provider infoMERCY ACO CLINICAL SERVICES INC
CHESTERFIELD, MO 63017

33aNPI1063965093assigned 07/26/2016

33bProvider typeProfessional Counselor

28Total paid$952K

24GClaims8,715

24DCodes billed24

24AFirst – last monthMay 2020 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Missouri

Rank by total paid#7 of 485

Median peer was paid$10K

This provider vs. median93×

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.

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99454		50%	3,155	3,104	$472K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.7%	1,124	885	$92K
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	7.9%	666	544	$75K
90792	Psychiatric diagnostic evaluation with medical services	7.6%	426	370	$73K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.2%	1,350	752	$59K
99493		4.3%	325	320	$41K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	4.2%	260	254	$40K
99223	Prolong inpt eval add15 m	2.8%	176	171	$26K
99222	Initial hospital care, per day, moderate complexity	1.7%	159	154	$16K
99239	Hospital discharge day management, more than 30 minutes	1.6%	199	196	$16K
99238	Hospital discharge day management, 30 minutes or less	1.2%	200	191	$12K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	71	41	$8K

12 more codes

99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	261	$7K
99215	Doctor's office visit, returning patient (complex)	<1%	28	$5K
99217		<1%	54	$3K
99243		<1%	27	$3K
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	<1%	113	$1K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	17	$1K
99220		<1%	17	$1K
99221		<1%	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	<1%	12	$520.89
95819		<1%	15	$444.14
99443		<1%	33	$57.65
99442		<1%	13	$12.71

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 officialCAFAZZA, BRIDGET (VP -VALUE FORCASTING & REV ANALYSIS)