Physician
Mercy Health Physicians Youngstown, LLC
Mercy Health Physicians Youngstown, LLC was paid $25.14M by Medicaid between Jan 2018 and Dec 2024, across 273 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
33aNPI1154636066assigned 08/16/2010
33bProvider typeInternal Medicine Physician
28Total paid$25.14M
24GClaims2,347,205
24DCodes billed273
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#2 of 663
Median peer was paid$17K
This provider vs. median1,443×
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 | 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 | |
| 2024incomplete | 164,700 | $1.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 184,857 | 170,813 | $8.91M |
| 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% | 228,537 | 212,508 | $7.37M |
| 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 | 4.1% | 15,755 | 15,273 | $1.02M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 34,300 | 15,521 | $610K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.0% | 20,004 | 9,179 | $493K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 10,567 | 10,285 | $473K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 65,773 | 56,081 | $372K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 8,962 | 8,672 | $285K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 8,739 | 7,008 | $263K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 3,487 | 3,375 | $217K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 8,844 | 6,322 | $206K |
| 99223 | Prolong inpt eval add15 m | <1% | 4,334 | 4,074 | $205K |
261 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17,041 | $199K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 6,080 | $197K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 5,110 | $194K |
| 93000 | <1% | 17,345 | $185K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 6,201 | $180K |
| 20610 | <1% | 4,284 | $169K | |
| 76820 | <1% | 8,742 | $165K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,204 | $164K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12,206 | $163K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 6,377 | $158K |
| 76818 | <1% | 5,047 | $140K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,873 | $127K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,543 | $127K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,376 | $112K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,604 | $88K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,439 | $81K |
| 95886 | <1% | 2,626 | $72K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,594 | $70K |
| 77427 | <1% | 779 | $65K | |
| 0001A | <1% | 1,614 | $57K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,697 | $57K |
| 90674 | <1% | 2,255 | $56K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 481 | $56K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,653 | $56K |
| 0002A | <1% | 1,539 | $56K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,711 | $54K |
| 99243 | <1% | 1,495 | $52K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 743 | $51K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,091 | $48K |
| 90686 | <1% | 3,233 | $47K | |
| 99221 | <1% | 2,016 | $46K | |
| 59514 | <1% | 224 | $45K | |
| 93295 | <1% | 1,342 | $42K | |
| 99253 | <1% | 912 | $41K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 797 | $41K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,023 | $37K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,682 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,417 | $34K |
| 93016 | <1% | 2,235 | $33K | |
| 95912 | <1% | 350 | $33K | |
| 99205 | Prolong outpt/office vis | <1% | 492 | $31K |
| 99255 | <1% | 346 | $31K | |
| 0011A | <1% | 871 | $29K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 797 | $29K |
| 76821 | <1% | 1,137 | $28K | |
| 0012A | <1% | 799 | $28K | |
| 99242 | <1% | 1,055 | $27K | |
| 93296 | <1% | 2,424 | $26K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,428 | $25K |
| 73130 | <1% | 1,473 | $24K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,385 | $23K |
| 99349 | <1% | 979 | $21K | |
| 93018 | <1% | 2,289 | $20K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 25 | $20K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 625 | $20K |
| 99336 | <1% | 1,430 | $20K | |
| 73110 | <1% | 1,103 | $19K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 316 | $18K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,031 | $17K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,059 | $17K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 817 | $16K |
| 99460 | <1% | 249 | $16K | |
| 20550 | <1% | 468 | $16K | |
| 11721 | <1% | 1,721 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,246 | $15K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 105 | $15K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 239 | $14K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,316 | $14K |
| 99254 | <1% | 192 | $13K | |
| 77334 | <1% | 209 | $13K | |
| 93971 | <1% | 947 | $12K | |
| 64483 | <1% | 368 | $12K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 171 | $11K |
| 93298 | <1% | 705 | $10K | |
| 0064A | <1% | 110 | $10K | |
| 99220 | <1% | 162 | $9K | |
| 77014 | <1% | 384 | $9K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 165 | $9K |
| 20526 | <1% | 204 | $9K | |
| 41115 | <1% | 69 | $9K | |
| 90661 | <1% | 339 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 232 | $8K |
| 20611 | <1% | 165 | $8K | |
| 93970 | <1% | 427 | $8K | |
| 59025 | Fetal non-stress test | <1% | 415 | $8K |
| 99307 | <1% | 945 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 436 | $7K |
| 99401 | <1% | 394 | $7K | |
| 95811 | <1% | 121 | $7K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 445 | $7K |
| 99245 | <1% | 80 | $7K | |
| 90732 | <1% | 72 | $7K | |
| 99442 | <1% | 435 | $7K | |
| 70496 | <1% | 154 | $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 | <1% | 420 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 118 | $6K |
| 70498 | <1% | 154 | $6K | |
| 97760 | <1% | 248 | $6K | |
| 62323 | <1% | 101 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 85 | $6K |
| 93294 | <1% | 444 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 117 | $6K |
| 29848 | <1% | 27 | $6K | |
| 93923 | <1% | 451 | $6K | |
| 95911 | <1% | 92 | $5K | |
| 90677 | <1% | 79 | $5K | |
| 0004A | <1% | 57 | $5K | |
| 64493 | <1% | 114 | $5K | |
| 93922 | <1% | 620 | $5K | |
| 98940 | <1% | 350 | $5K | |
| 94060 | <1% | 640 | $5K | |
| 31575 | <1% | 95 | $5K | |
| 95910 | <1% | 72 | $5K | |
| 69210 | <1% | 236 | $4K | |
| 90688 | <1% | 351 | $4K | |
| 20605 | <1% | 150 | $4K | |
| 93458 | <1% | 52 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 73 | $4K |
| 76813 | <1% | 102 | $4K | |
| 93880 | <1% | 232 | $4K | |
| 90670 | <1% | 249 | $3K | |
| 97161 | <1% | 65 | $3K | |
| 11056 | <1% | 173 | $3K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 77 | $3K |
| 95909 | <1% | 51 | $3K | |
| 99348 | <1% | 269 | $3K | |
| 93299 | <1% | 242 | $3K | |
| 73030 | <1% | 190 | $3K | |
| 99462 | <1% | 81 | $3K | |
| 99406 | <1% | 326 | $3K | |
| 64494 | <1% | 115 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 57 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 99 | $2K |
| 99235 | <1% | 29 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 82 | $2K |
| 95913 | <1% | 12 | $2K | |
| 95251 | <1% | 119 | $2K | |
| 81002 | <1% | 1,101 | $2K | |
| 73140 | <1% | 141 | $2K | |
| 99226 | <1% | 86 | $2K | |
| D1120 | Dental cleaning, child | <1% | 101 | $2K |
| 99385 | <1% | 27 | $2K | |
| 99441 | <1% | 209 | $2K | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 181 | $2K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 121 | $2K |
| 90698 | <1% | 163 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 427 | $2K |
| 73564 | <1% | 65 | $1K | |
| 73630 | <1% | 101 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 135 | $1K |
| 64495 | <1% | 59 | $1K | |
| 99201 | <1% | 141 | $1K | |
| 0031A | <1% | 47 | $1K | |
| 94010 | <1% | 309 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 100 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 198 | $1K |
| 99402 | <1% | 38 | $1K | |
| 40806 | <1% | 44 | $1K | |
| 96160 | <1% | 372 | $1K | |
| 95816 | <1% | 74 | $1K | |
| 99218 | <1% | 45 | $1K | |
| 76801 | <1% | 42 | $1K | |
| 94729 | <1% | 365 | $1K | |
| 99305 | <1% | 70 | $1K | |
| 90715 | <1% | 44 | $1K | |
| 92567 | <1% | 95 | $1K | |
| 99421 | <1% | 110 | $1K | |
| 99252 | <1% | 27 | $956.63 | |
| 93793 | <1% | 146 | $947.56 | |
| 83037 | <1% | 158 | $921.91 | |
| 94726 | <1% | 291 | $909.27 | |
| 82044 | <1% | 244 | $861.27 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 105 | $857.13 |
| 93297 | <1% | 78 | $819.20 | |
| 0042T | <1% | 113 | $800.71 | |
| 99422 | <1% | 45 | $781.14 | |
| D0272 | Bitewings - two radiographic images | <1% | 83 | $760.00 |
| 99443 | <1% | 45 | $751.47 | |
| 77300 | <1% | 24 | $724.87 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $709.20 |
| D1110 | Prophylaxis - adult | <1% | 24 | $648.47 |
| 90694 | <1% | 77 | $554.60 | |
| 64484 | <1% | 12 | $482.57 | |
| 82962 | <1% | 237 | $467.99 | |
| 73070 | <1% | 33 | $466.60 | |
| 29580 | <1% | 14 | $446.03 | |
| 99251 | <1% | 26 | $413.89 | |
| 99217 | <1% | 13 | $389.67 | |
| 93976 | <1% | 24 | $364.92 | |
| 99224 | <1% | 27 | $356.53 | |
| 90680 | <1% | 105 | $354.00 | |
| 78306 | <1% | 17 | $336.50 | |
| 93280 | <1% | 13 | $335.33 | |
| 82274 | <1% | 42 | $311.85 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 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 | <1% | 53 | $280.62 |
| 99225 | <1% | 12 | $277.56 | |
| 90671 | <1% | 33 | $258.51 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 491 | $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) | <1% | 3,709 | $212.48 |
| 86756 | <1% | 31 | $196.11 | |
| D0120 | Dental checkup, returning patient | <1% | 12 | $187.88 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 251,394 | $164.88 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 37 | $155.00 |
| 93325 | <1% | 68 | $138.23 | |
| 85610 | <1% | 58 | $135.30 | |
| 93264 | <1% | 15 | $127.98 | |
| 80305 | <1% | 15 | $126.81 | |
| 81025 | <1% | 16 | $82.65 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 397,296 | $82.51 |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 190,444 | $82.44 |
| 3017F | <1% | 146,607 | $82.44 | |
| 1036F | <1% | 248,651 | $82.44 | |
| 85018 | <1% | 41 | $74.59 | |
| 36600 | <1% | 14 | $56.08 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $42.41 |
| 91300 | <1% | 3,378 | $31.46 | |
| 81003 | <1% | 13 | $23.22 | |
| 99173 | <1% | 13 | $22.94 | |
| 91301 | <1% | 1,707 | $16.32 | |
| 91306 | <1% | 108 | $0.86 | |
| 91303 | <1% | 47 | $0.47 | |
| 2022F | <1% | 24,525 | $0.01 | |
| 1123F | <1% | 6,066 | $0.01 | |
| 3078F | 0% | 16,572 | $0.00 | |
| 4004F | 0% | 103,361 | $0.00 | |
| 3046F | 0% | 3,888 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 27,373 | $0.00 |
| 1090F | 0% | 1,841 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 1,194 | $0.00 |
| 3051F | 0% | 202 | $0.00 | |
| 4040F | 0% | 3,306 | $0.00 | |
| 3023F | 0% | 1,721 | $0.00 | |
| 3077F | 0% | 142 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 46 | $0.00 |
| 3045F | 0% | 140 | $0.00 | |
| D1999 | 0% | 119 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 31 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 113 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 56 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| G9710 | Patient was provided hospice services any time during the measurement period | 0% | 60 | $0.00 |
| 90653 | 0% | 13 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 18 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 28,803 | $0.00 |
| 3008F | 0% | 2,719 | $0.00 | |
| 3014F | 0% | 1,578 | $0.00 | |
| 3079F | 0% | 2,138 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 1,050 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 26,211 | $0.00 |
| 3074F | 0% | 16,499 | $0.00 | |
| 3075F | 0% | 1,284 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 7,465 | $0.00 |
| 3044F | 0% | 998 | $0.00 | |
| 99024 | 0% | 1,207 | $0.00 | |
| 1111F | 0% | 418 | $0.00 | |
| 3052F | 0% | 141 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 19 | $0.00 |
| 1101F | 0% | 86 | $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 officialHAVLIN, CASSIE (DIRECTOR, PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Mercy Medical Partners Northern Region Specialty Care LLC | Defiance, OH | $644K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.