Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › YOUNGSTOWN › MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC

MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC

NPI: 1154636066 · YOUNGSTOWN, OH 44504 · Internal Medicine Physician · NPI assigned 08/16/2010

$25.14M
Total Medicaid Paid
2,347,205
Total Claims
2,099,004
Beneficiaries
273
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAVLIN, CASSIE (DIRECTOR, PROVIDER ENROLLMENT)
NPI Enumeration Date08/16/2010

Related Entities

Other providers sharing the same authorized official: HAVLIN, CASSIE

ProviderCityStateTotal Paid
MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC DEFIANCE OH $644K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 351,990 $3.98M
2019 402,256 $4.71M
2020 387,100 $4.11M
2021 554,101 $5.80M
2022 288,458 $2.83M
2023 198,600 $1.94M
2024 164,700 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 184,857 170,813 $8.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 228,537 212,508 $7.37M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,755 15,273 $1.02M
99232 Subsequent hospital care, per day, moderate complexity 34,300 15,521 $610K
99233 Prolong inpt eval add15 m 20,004 9,179 $493K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,567 10,285 $473K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 65,773 56,081 $372K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,962 8,672 $285K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,739 7,008 $263K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,487 3,375 $217K
76819 Fetal biophysical profile; without non-stress testing 8,844 6,322 $206K
99223 Prolong inpt eval add15 m 4,334 4,074 $205K
99231 Subsequent hospital care, per day, straightforward or low complexity 17,041 7,249 $199K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,080 4,989 $197K
99222 Initial hospital care, per day, moderate complexity 5,110 4,823 $194K
93000 17,345 16,633 $185K
99239 Hospital discharge day management, more than 30 minutes 6,201 5,898 $180K
20610 4,284 3,319 $169K
76820 8,742 4,698 $165K
99215 Prolong outpt/office vis 3,204 2,994 $164K
99309 Subsequent nursing facility care, per day, low to moderate complexity 12,206 9,073 $163K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,377 5,235 $158K
76818 5,047 2,684 $140K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,873 1,001 $127K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,543 3,429 $127K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,376 4,259 $112K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,604 5,206 $88K
99238 Hospital discharge day management, 30 minutes or less 3,439 3,181 $81K
95886 2,626 2,552 $72K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,594 1,368 $70K
77427 779 425 $65K
0001A 1,614 1,586 $57K
83036 Hemoglobin; glycosylated (A1C) 9,697 9,213 $57K
90674 2,255 2,002 $56K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 481 473 $56K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,653 2,691 $56K
0002A 1,539 1,524 $56K
90460 Immunization administration through 18 years of age via any route, first or only component 3,711 1,557 $54K
99243 1,495 1,430 $52K
99244 Office or other outpatient consultation, moderate to high complexity 743 729 $51K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,091 1,490 $48K
90686 3,233 3,108 $47K
99221 2,016 1,848 $46K
59514 224 220 $45K
93295 1,342 1,296 $42K
99253 912 864 $41K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 797 701 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,023 994 $37K
99308 Subsequent nursing facility care, per day, straightforward 3,682 2,901 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,417 3,250 $34K
93016 2,235 2,163 $33K
95912 350 335 $33K
99205 Prolong outpt/office vis 492 476 $31K
99255 346 330 $31K
0011A 871 857 $29K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 797 780 $29K
76821 1,137 707 $28K
0012A 799 792 $28K
99242 1,055 1,009 $27K
93296 2,424 2,331 $26K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,428 1,267 $25K
73130 1,473 1,188 $24K
36415 Collection of venous blood by venipuncture 8,385 7,747 $23K
99349 979 907 $21K
93018 2,289 2,215 $20K
J0585 Injection, onabotulinumtoxina, 1 unit 25 12 $20K
90832 Psychotherapy, 30 minutes with patient 625 502 $20K
99336 1,430 1,271 $20K
73110 1,103 821 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 316 296 $18K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,031 2,846 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,059 509 $17K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 817 521 $16K
99460 249 243 $16K
20550 468 422 $16K
11721 1,721 1,667 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,246 1,165 $15K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 105 103 $15K
90791 Psychiatric diagnostic evaluation 239 235 $14K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,316 1,269 $14K
99254 192 182 $13K
77334 209 157 $13K
93971 947 889 $12K
64483 368 346 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 171 161 $11K
93298 705 662 $10K
0064A 110 109 $10K
99220 162 149 $9K
77014 384 40 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 165 161 $9K
20526 204 191 $9K
41115 69 66 $9K
90661 339 323 $9K
D0330 Panoramic radiographic image 232 213 $8K
20611 165 133 $8K
93970 427 397 $8K
59025 Fetal non-stress test 415 305 $8K
99307 945 831 $8K
D0140 Limited oral evaluation - problem focused 436 406 $7K
99401 394 339 $7K
95811 121 121 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 445 166 $7K
99245 80 77 $7K
90732 72 69 $7K
99442 435 422 $7K
70496 154 149 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 420 402 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 118 111 $6K
70498 154 149 $6K
97760 248 223 $6K
62323 101 93 $6K
90792 Psychiatric diagnostic evaluation with medical services 85 81 $6K
93294 444 419 $6K
D7140 Extraction, erupted tooth or exposed root 117 52 $6K
29848 27 25 $6K
93923 451 436 $6K
95911 92 91 $5K
90677 79 78 $5K
0004A 57 57 $5K
64493 114 106 $5K
93922 620 596 $5K
98940 350 199 $5K
94060 640 607 $5K
31575 95 90 $5K
95910 72 70 $5K
69210 236 223 $4K
90688 351 344 $4K
20605 150 142 $4K
93458 52 50 $4K
90837 Psychotherapy, 53 minutes with patient 73 72 $4K
76813 102 98 $4K
93880 232 227 $4K
90670 249 235 $3K
97161 65 64 $3K
11056 173 170 $3K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 77 73 $3K
95909 51 51 $3K
99348 269 171 $3K
93299 242 212 $3K
73030 190 165 $3K
99462 81 58 $3K
99406 326 294 $3K
64494 115 93 $2K
90834 Psychotherapy, 45 minutes with patient 57 57 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 15 $2K
D0150 Comprehensive oral evaluation - new or established patient 99 92 $2K
99235 29 29 $2K
99306 Prolong nursin fac eval 15m 82 77 $2K
95913 12 12 $2K
95251 119 115 $2K
81002 1,101 1,038 $2K
73140 141 129 $2K
99226 86 77 $2K
D1120 Prophylaxis - child 101 98 $2K
99385 27 25 $2K
99441 209 194 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) 181 79 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 121 55 $2K
90698 163 155 $2K
D0220 Intraoral - periapical first radiographic image 427 384 $2K
73564 65 51 $1K
73630 101 69 $1K
71046 Radiologic examination, chest; 2 views 135 130 $1K
64495 59 56 $1K
99201 141 134 $1K
0031A 47 47 $1K
94010 309 295 $1K
D1206 Topical application of fluoride varnish 100 96 $1K
G0008 Administration of influenza virus vaccine 198 180 $1K
99402 38 34 $1K
40806 44 42 $1K
96160 372 358 $1K
95816 74 68 $1K
99218 45 43 $1K
76801 42 42 $1K
94729 365 357 $1K
99305 70 64 $1K
90715 44 41 $1K
92567 95 92 $1K
99421 110 99 $1K
99252 27 26 $956.63
93793 146 103 $947.56
83037 158 149 $921.91
94726 291 284 $909.27
82044 244 226 $861.27
J1040 Injection, methylprednisolone acetate, 80 mg 105 102 $857.13
93297 78 77 $819.20
0042T 113 108 $800.71
99422 45 44 $781.14
D0272 Bitewings - two radiographic images 83 82 $760.00
99443 45 40 $751.47
77300 24 24 $724.87
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $709.20
D1110 Prophylaxis - adult 24 24 $648.47
90694 77 75 $554.60
64484 12 12 $482.57
82962 237 226 $467.99
73070 33 28 $466.60
29580 14 14 $446.03
99251 26 26 $413.89
99217 13 13 $389.67
93976 24 18 $364.92
99224 27 13 $356.53
90680 105 101 $354.00
78306 17 15 $336.50
93280 13 12 $335.33
82274 42 36 $311.85
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $309.65
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 53 50 $280.62
99225 12 12 $277.56
90671 33 29 $258.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 491 465 $214.95
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) 3,709 3,496 $212.48
86756 31 29 $196.11
D0120 Periodic oral evaluation - established patient 12 12 $187.88
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 251,394 230,811 $164.88
D0230 Intraoral - periapical each additional radiographic image 37 26 $155.00
93325 68 64 $138.23
85610 58 40 $135.30
93264 15 12 $127.98
80305 15 13 $126.81
81025 16 16 $82.65
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 397,296 364,759 $82.51
G8484 Influenza immunization was not administered, reason not given 190,444 174,182 $82.44
3017F 146,607 134,599 $82.44
1036F 248,651 226,865 $82.44
85018 41 38 $74.59
36600 14 13 $56.08
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $42.41
91300 3,378 3,234 $31.46
81003 13 12 $23.22
99173 13 12 $22.94
91301 1,707 1,639 $16.32
91306 108 107 $0.86
91303 47 47 $0.47
2022F 24,525 23,011 $0.01
1123F 6,066 5,483 $0.01
3078F 16,572 14,983 $0.00
4004F 103,361 95,132 $0.00
3046F 3,888 3,678 $0.00
G8482 Influenza immunization administered or previously received 27,373 25,009 $0.00
1090F 1,841 1,639 $0.00
G8598 Aspirin or another antiplatelet therapy used 1,194 1,114 $0.00
3051F 202 198 $0.00
4040F 3,306 2,951 $0.00
3023F 1,721 1,619 $0.00
3077F 142 120 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 46 41 $0.00
3045F 140 138 $0.00
D1999 119 108 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 31 26 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 113 107 $0.00
G8421 Bmi not documented and no reason is given 56 52 $0.00
90633 13 13 $0.00
G9710 Patient was provided hospice services any time during the measurement period 60 52 $0.00
90653 13 13 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 18 18 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 28,803 26,203 $0.00
3008F 2,719 2,418 $0.00
3014F 1,578 1,462 $0.00
3079F 2,138 1,893 $0.00
G8926 Spirometry test not performed or documented, reason not given 1,050 1,019 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 26,211 22,948 $0.00
3074F 16,499 14,869 $0.00
3075F 1,284 1,160 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 7,465 6,893 $0.00
3044F 998 945 $0.00
99024 1,207 981 $0.00
1111F 418 365 $0.00
3052F 141 139 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 19 16 $0.00
1101F 86 69 $0.00