MERCY CLINIC EAST COMMUNITIES

NPI: 1073739041 · SAINT LOUIS, MO 63141 · Family Medicine Physician · NPI assigned 04/18/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$2.82M

Total Medicaid Paid

43,279

Total Claims

40,469

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	DUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent Organization	MERCY HEALTH EAST COMMUNITIES
NPI Enumeration Date	04/18/2007

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

Provider	City	State	Total 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	$2.96M
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

Year	Claims	Total Paid
2018	658	$17K
2019	454	$8K
2020	3,613	$158K
2021	8,048	$359K
2022	7,823	$469K
2023	12,672	$1.01M
2024	10,011	$800K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17,983	16,787	$1.33M
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5,096	4,601	$506K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3,886	3,783	$409K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2,566	2,562	$269K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2,291	2,077	$59K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	497	497	$56K
59025	Fetal non-stress test	1,688	1,107	$46K
90723		886	885	$34K
90686		1,632	1,628	$13K
90647		1,599	1,596	$13K
99308	Subsequent nursing facility care, per day, straightforward	654	568	$12K
90670		1,439	1,438	$11K
87428		231	228	$10K
90677		621	614	$6K
90680		751	750	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	57	57	$6K
90697		204	204	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	89	74	$5K
99460		45	41	$4K
D7140	Extraction, erupted tooth or exposed root	98	28	$2K
90633		235	235	$2K
90656		183	183	$2K
87430		117	113	$2K
90671		168	168	$2K
99306	Prolong nursin fac eval 15m	31	30	$1K
99335		31	26	$930.51
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	52	51	$839.19
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	12	12	$749.70
87420		29	29	$394.43
90710		12	12	$346.87
90707		13	13	$271.10
99318		13	13	$247.83
D0140	Limited oral evaluation - problem focused	27	16	$239.50
90681		15	15	$156.70
90381		14	14	$146.20
96380		14	14	$0.00