Physician
Mercy Health Physicians Cincinnati Specialty Care LLC
Mercy Health Physicians Cincinnati Specialty Care LLC was paid $7.18M by Medicaid between Jan 2022 and Dec 2024, across 133 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC
CINCINNATI, OH 45237
CINCINNATI, OH 45237
33aNPI1154942795assigned 05/06/2020
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$7.18M
24GClaims571,809
24DCodes billed133
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Ohio
Rank by total paid#1 of 8
Median peer was paid$4K
This provider vs. median1,744×
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 | |
|---|---|---|---|
| 2022 | 218,701 | $2.70M | |
| 2023 | 202,064 | $2.47M | |
| 2024incomplete | 151,044 | $2.01M |
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 | 33% | 49,908 | 46,201 | $2.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 28,491 | 25,137 | $916K |
| 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 | 7.8% | 8,103 | 7,572 | $557K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.3% | 69,872 | 58,866 | $451K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.1% | 12,108 | 5,233 | $367K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.9% | 6,984 | 5,078 | $280K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.9% | 7,092 | 6,714 | $278K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 4,169 | 3,788 | $256K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 5,525 | 5,141 | $243K |
| 20610 | 2.2% | 4,243 | 3,175 | $156K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 7,212 | 3,287 | $146K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 1,630 | 621 | $79K |
121 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 2,322 | $76K |
| 92557 | <1% | 1,786 | $45K | |
| 95886 | <1% | 1,009 | $44K | |
| 99255 | <1% | 474 | $43K | |
| 95811 | <1% | 599 | $38K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 583 | $38K |
| 99205 | Prolong outpt/office vis | <1% | 376 | $35K |
| 93000 | <1% | 3,481 | $33K | |
| 93296 | <1% | 2,779 | $31K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 212 | $29K |
| 31231 | <1% | 363 | $28K | |
| 93295 | <1% | 945 | $28K | |
| 93971 | <1% | 1,521 | $28K | |
| 93297 | <1% | 2,109 | $27K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 457 | $26K |
| 95909 | <1% | 422 | $26K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 329 | $26K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 670 | $25K |
| 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% | 1,969 | $25K |
| 93298 | <1% | 1,605 | $25K | |
| 47562 | <1% | 54 | $24K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 354 | $23K |
| 72100 | <1% | 978 | $18K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 236 | $18K |
| 92567 | <1% | 1,827 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 390 | $16K |
| 95813 | <1% | 303 | $16K | |
| 93970 | <1% | 528 | $15K | |
| 95251 | <1% | 675 | $14K | |
| 73610 | <1% | 792 | $14K | |
| 73630 | <1% | 777 | $13K | |
| 93016 | <1% | 931 | $13K | |
| 99243 | <1% | 247 | $13K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,426 | $12K |
| 64721 | <1% | 69 | $11K | |
| 95911 | <1% | 122 | $11K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 182 | $11K |
| 99406 | <1% | 1,377 | $11K | |
| 20611 | <1% | 227 | $10K | |
| 93294 | <1% | 717 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 149 | $9K |
| 73564 | <1% | 408 | $9K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 696 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 175 | $8K |
| 93018 | <1% | 930 | $8K | |
| 73030 | <1% | 467 | $8K | |
| 95816 | <1% | 252 | $7K | |
| 73562 | <1% | 409 | $7K | |
| 97597 | <1% | 940 | $6K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 268 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 202 | $5K |
| 64718 | <1% | 16 | $5K | |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 29 | $4K |
| 99385 | <1% | 53 | $4K | |
| 31575 | <1% | 55 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 473 | $2K |
| 93880 | <1% | 82 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 72 | $2K |
| 73502 | <1% | 97 | $2K | |
| 72040 | <1% | 100 | $2K | |
| 96130 | <1% | 41 | $2K | |
| 99254 | <1% | 27 | $2K | |
| 93228 | <1% | 103 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 420 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 20 | $1K |
| 99386 | <1% | 14 | $1K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 38 | $1K |
| 95717 | <1% | 13 | $1K | |
| 93925 | <1% | 26 | $985.09 | |
| 81002 | <1% | 486 | $922.86 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 13 | $824.50 |
| 96136 | <1% | 29 | $658.84 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 82 | $630.30 |
| 94060 | <1% | 66 | $601.68 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 89 | $517.98 |
| 73130 | <1% | 31 | $442.64 | |
| 99242 | <1% | 13 | $406.12 | |
| 94726 | <1% | 105 | $382.62 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 54 | $378.57 |
| 94729 | <1% | 105 | $373.61 | |
| 69210 | <1% | 25 | $361.11 | |
| 77002 | <1% | 15 | $290.09 | |
| 93272 | <1% | 12 | $270.66 | |
| 99442 | <1% | 13 | $265.12 | |
| 73110 | <1% | 13 | $234.19 | |
| 99152 | <1% | 29 | $212.62 | |
| 93290 | <1% | 14 | $196.13 | |
| 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% | 889 | $170.52 |
| 93242 | <1% | 13 | $112.36 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 14 | $94.00 |
| 81025 | <1% | 15 | $88.14 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 15 | $78.09 |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 44,966 | $24.71 |
| 1123F | <1% | 2,764 | $17.44 | |
| 91300 | <1% | 13 | $0.10 | |
| 3078F | <1% | 6,695 | $0.01 | |
| 1036F | 0% | 55,984 | $0.00 | |
| 3074F | 0% | 6,284 | $0.00 | |
| 3017F | 0% | 26,414 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,232 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,438 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,699 | $0.00 |
| 3079F | 0% | 974 | $0.00 | |
| 99024 | 0% | 964 | $0.00 | |
| 3075F | 0% | 304 | $0.00 | |
| 3080F | 0% | 109 | $0.00 | |
| 3044F | 0% | 122 | $0.00 | |
| 3052F | 0% | 16 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 95,567 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 53,673 | $0.00 |
| 1090F | 0% | 790 | $0.00 | |
| 4004F | 0% | 11,483 | $0.00 | |
| 3077F | 0% | 486 | $0.00 | |
| 3023F | 0% | 1,266 | $0.00 | |
| 3046F | 0% | 855 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 453 | $0.00 |
| 2022F | 0% | 3,543 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 314 | $0.00 |
| 4040F | 0% | 87 | $0.00 | |
| 1159F | 0% | 26 | $0.00 | |
| 3051F | 0% | 13 | $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 officialHARDY, SHANE (CFO, MEDICAL GROUP)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Cincinnati, LLC | Cincinnati, OH | $28.01M |
| Mercy Health Physicians Kentucky LLC | Paducah, KY | $11.90M |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Richmond, VA | $9.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.