Physician
Mercy Medical Center
Mercy Medical Center was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoMERCY MEDICAL CENTER
ROCKVILLE CENTRE, NY 11571
ROCKVILLE CENTRE, NY 11571
33aNPI1104097294assigned 03/17/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.53M
24GClaims46,281
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#184 of 6,049
Median peer was paid$11K
This provider vs. median135×
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 | |
|---|---|---|---|
| 2018 | 1,793 | $56K | |
| 2019 | 2,322 | $112K | |
| 2020 | 2,020 | $113K | |
| 2021 | 5,809 | $245K | |
| 2022 | 12,062 | $393K | |
| 2023 | 11,584 | $385K | |
| 2024incomplete | 10,691 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,265 | 4,962 | $266K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 3,363 | 3,081 | $209K |
| 43775 | 13% | 271 | 271 | $192K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 1,387 | 1,386 | $190K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 1,431 | 1,431 | $178K |
| 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 | 9.6% | 1,625 | 1,501 | $147K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.8% | 526 | 517 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 794 | 790 | $57K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.8% | 1,613 | 475 | $43K |
| 99462 | 2.4% | 952 | 876 | $37K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 674 | 586 | $22K |
| 76818 | 1.3% | 503 | 214 | $19K |
32 more codes
| 43202 | 1.2% | 177 | $19K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 138 | $15K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 236 | $14K |
| 76820 | <1% | 877 | $14K | |
| 99221 | <1% | 113 | $9K | |
| 99219 | <1% | 82 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 169 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 66 | $5K |
| 99443 | <1% | 40 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 473 | $4K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 18 | $2K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $1K |
| 99460 | <1% | 13 | $1K | |
| 99218 | <1% | 15 | $1K | |
| 99217 | <1% | 27 | $961.61 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 30 | $927.48 |
| 99381 | <1% | 31 | $649.60 | |
| 43235 | <1% | 14 | $548.44 | |
| 99464 | <1% | 12 | $476.71 | |
| 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% | 26 | $288.59 |
| 3074F | <1% | 924 | $60.00 | |
| 3078F | <1% | 1,368 | $57.50 | |
| 1159F | 0% | 5,097 | $0.00 | |
| 1160F | 0% | 5,100 | $0.00 | |
| 3077F | 0% | 88 | $0.00 | |
| 3008F | 0% | 6,895 | $0.00 | |
| 2000F | 0% | 3,471 | $0.00 | |
| 1101F | 0% | 2,129 | $0.00 | |
| 3079F | 0% | 40 | $0.00 | |
| 3075F | 0% | 134 | $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 officialREILLY, JOHN (CHIEF MEDICAL OFFICER)
Parent organizationMERCY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Mercy Internal Medicine PC | Rockville Centre, NY | $313K |
| Plastic and Reconstructive Surgery Specialists LLC | Shelton, CT | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.