Mercy Management of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania was paid $434K by Medicaid between Jan 2018 and Jan 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
DARBY, PA 19023
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 347 | $663.09 | |
| 2020 | 578 | $31K | |
| 2021 | 2,987 | $141K | |
| 2022 | 3,649 | $156K | |
| 2023 | 1,634 | $100K | |
| 2024incomplete | 91 | $7K |
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 | 29% | 2,652 | 2,523 | $127K |
| 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 | 28% | 1,732 | 1,669 | $120K |
| 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 | 19% | 621 | 608 | $81K |
| 20610 | 8.7% | 1,233 | 1,122 | $38K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 398 | 388 | $34K |
| 99243 | 5.9% | 179 | 178 | $26K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.2% | 670 | 662 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 230 | 189 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 603 | 591 | $144.95 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | 12 | $51.00 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 157 | 52 | $50.46 |
| 1159F | 0% | 106 | 101 | $0.00 |
7 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nazareth Physician Services, INC | Philadelphia, PA | $2.91M |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $2.19M |
| Nazareth Physician Services, INC. | Philadelphia, PA | $1.79M |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $1.49M |
| Nazareth Physician Services, INC. | Phila, PA | $778K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $499K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $396K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $354K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $171K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $154K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $139K |
| Nazareth Physician Services, INC. | Phila, PA | $100K |
| Nazareth Physician Services, INC | Philadelphia, PA | $61K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.