Medicaid Provider Spending

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

MERCY HEALTH PHYSICIANS CINCINNATI, LLC

NPI: 1205887023 · CINCINNATI, OH 45237 · Internal Medicine Physician · NPI assigned 05/15/2006

$28.01M
Total Medicaid Paid
2,240,435
Total Claims
2,008,324
Beneficiaries
264
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARDY, SHANE (CFO, MEDICAL GROUP)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: HARDY, SHANE

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS KENTUCKY LLC PADUCAH KY $11.90M
BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC RICHMOND VA $9.80M
MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH $7.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 456,421 $5.08M
2019 428,676 $5.53M
2020 410,128 $5.06M
2021 417,445 $5.18M
2022 208,672 $2.72M
2023 187,884 $2.49M
2024 131,209 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 256,715 237,954 $12.93M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 183,028 168,391 $6.43M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 127,427 108,359 $790K
99233 Prolong inpt eval add15 m 25,259 11,925 $713K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,602 15,795 $661K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,199 6,896 $505K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,659 10,244 $496K
90460 Immunization administration through 18 years of age via any route, first or only component 31,303 14,279 $456K
99232 Subsequent hospital care, per day, moderate complexity 21,485 10,272 $389K
90832 Psychotherapy, 30 minutes with patient 10,126 7,495 $372K
99223 Prolong inpt eval add15 m 5,178 4,773 $259K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,172 1,960 $222K
99255 2,475 2,336 $221K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,234 3,143 $186K
20610 5,242 4,169 $176K
99215 Prolong outpt/office vis 2,626 2,344 $168K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,480 2,351 $149K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,713 11,016 $145K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,741 2,525 $139K
90791 Psychiatric diagnostic evaluation 1,281 1,226 $113K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,793 6,415 $104K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,672 1,624 $97K
95811 1,434 1,390 $89K
99239 Hospital discharge day management, more than 30 minutes 2,528 2,384 $88K
90686 6,722 6,490 $79K
95886 2,142 2,065 $77K
90674 3,373 3,044 $74K
99243 1,449 1,411 $73K
93000 6,618 6,312 $71K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 592 578 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,141 2,927 $67K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,157 1,134 $65K
99205 Prolong outpt/office vis 612 583 $58K
99244 Office or other outpatient consultation, moderate to high complexity 742 727 $58K
0001A 1,157 1,133 $48K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 678 641 $45K
99385 629 610 $45K
93971 2,801 2,614 $43K
0002A 1,045 1,033 $40K
93016 2,472 2,369 $36K
36415 Collection of venous blood by venipuncture 17,279 16,049 $33K
83036 Hemoglobin; glycosylated (A1C) 5,947 5,711 $33K
43775 51 51 $31K
0011A 841 832 $30K
64721 167 159 $30K
73610 1,808 1,563 $29K
0012A 757 753 $29K
93298 1,656 1,589 $29K
95911 291 286 $28K
93296 2,817 2,578 $28K
95909 502 489 $28K
99458 801 748 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 433 421 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 842 822 $25K
93970 1,020 947 $25K
93018 2,825 2,698 $24K
73630 1,517 1,220 $23K
99454 905 852 $23K
92557 898 857 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,847 1,162 $21K
99457 1,044 976 $21K
99308 Subsequent nursing facility care, per day, straightforward 3,761 3,118 $19K
99254 276 264 $18K
93295 557 531 $16K
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 111 105 $16K
93015 245 234 $14K
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 1,104 1,056 $13K
90792 Psychiatric diagnostic evaluation with medical services 218 207 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,053 526 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,316 1,249 $13K
90670 1,857 1,794 $12K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 311 272 $12K
31231 168 154 $12K
93299 608 581 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,044 1,916 $11K
90837 Psychotherapy, 53 minutes with patient 129 90 $11K
64483 328 298 $11K
90682 270 257 $11K
73562 692 529 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 882 808 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 111 109 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 169 152 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 316 230 $10K
97597 1,756 782 $9K
47562 25 24 $9K
J1030 Injection, methylprednisolone acetate, 40 mg 1,074 1,020 $9K
99422 424 400 $9K
99386 99 96 $9K
99406 1,185 1,091 $8K
99253 174 163 $8K
92552 722 686 $8K
73030 454 403 $7K
90688 673 654 $7K
99421 672 644 $7K
99051 353 335 $7K
99443 364 347 $7K
73564 339 284 $7K
96101 70 69 $7K
90661 277 252 $7K
92567 692 661 $6K
90732 64 62 $6K
99442 461 440 $6K
20611 131 105 $6K
99383 100 85 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 673 260 $5K
0004A 57 57 $5K
94060 432 395 $5K
99222 Initial hospital care, per day, moderate complexity 153 145 $5K
90750 45 37 $5K
93294 328 308 $5K
73110 306 241 $5K
0071A 48 48 $4K
99423 127 119 $4K
J2785 Injection, regadenoson, 0.1 mg 40 39 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 28 26 $4K
73130 292 244 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 73 68 $4K
72100 238 231 $4K
17311 13 12 $4K
82962 2,679 2,468 $4K
0072A 36 36 $4K
90633 301 293 $3K
99221 176 148 $3K
90698 829 807 $3K
99242 79 78 $3K
93880 154 145 $3K
95816 156 152 $3K
93297 206 203 $3K
81025 416 394 $3K
90756 105 103 $2K
31575 41 40 $2K
99381 34 27 $2K
95908 42 41 $2K
99306 Prolong nursin fac eval 15m 58 55 $2K
99173 961 906 $2K
90715 72 71 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 122 117 $2K
92551 328 307 $2K
94729 433 402 $2K
97802 28 28 $2K
83655 184 181 $2K
96127 456 411 $2K
99292 64 27 $2K
85018 821 809 $2K
99453 181 173 $2K
0074A 16 14 $2K
73560 141 129 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 106 93 $2K
90685 300 292 $2K
95910 38 38 $2K
96160 488 454 $1K
97803 30 29 $1K
51725 12 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 92 $1K
43235 15 15 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 26 18 $1K
90694 19 17 $1K
73502 89 82 $1K
80061 Lipid panel 100 95 $1K
90653 23 22 $1K
90648 114 113 $1K
0031A 36 35 $1K
93923 75 69 $986.85
93272 47 47 $936.35
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 48 44 $934.03
99384 12 12 $924.64
31624 45 38 $873.87
94726 289 272 $868.44
64493 18 15 $845.63
20553 53 52 $812.59
11102 28 27 $804.79
92550 83 82 $784.14
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) 2,504 2,391 $777.45
95885 27 26 $768.03
81002 339 316 $748.52
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 12 $746.25
94618 75 65 $728.06
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 13 $722.30
98926 40 33 $699.87
96161 312 306 $681.27
87428 20 15 $640.74
90677 13 12 $625.88
64494 32 15 $606.93
20550 18 14 $538.49
72040 27 27 $507.41
S9470 Nutritional counseling, dietitian visit 24 24 $501.80
90472 Immunization administration, each additional vaccine (list separately) 45 40 $495.33
31645 14 14 $474.94
95806 52 52 $434.39
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 229,142 210,331 $431.42
90630 20 20 $405.84
90680 422 412 $400.00
90744 157 155 $338.50
93017 13 13 $317.44
95819 15 13 $300.80
99441 39 39 $291.32
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 29 24 $286.43
93280 14 13 $265.92
93228 12 12 $248.71
90651 12 12 $233.75
99401 21 15 $220.16
90710 84 81 $210.00
90687 34 33 $182.22
93270 26 26 $181.46
94727 50 41 $164.93
82274 15 14 $159.42
99152 29 27 $139.06
96156 44 43 $112.25
11045 21 12 $111.43
99188 29 29 $109.08
92568 13 13 $94.35
90723 12 12 $92.50
99318 46 32 $68.10
90681 13 13 $62.50
81003 33 32 $57.06
J1885 Injection, ketorolac tromethamine, per 15 mg 77 65 $53.00
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 13 12 $51.41
G8482 Influenza immunization administered or previously received 30,299 27,363 $50.84
G0008 Administration of influenza virus vaccine 130 121 $41.82
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 431,651 395,879 $41.32
90700 13 12 $30.00
76937 14 12 $29.78
1036F 229,932 210,008 $25.00
91300 2,282 1,938 $21.73
90461 232 59 $21.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12,618 11,545 $16.61
3017F 104,803 96,240 $16.61
4004F 58,514 53,591 $16.61
91301 1,607 1,517 $15.34
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 12 12 $12.30
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $11.75
90734 16 12 $10.00
91307 78 77 $0.65
91303 36 35 $0.31
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12,967 12,271 $0.00
3075F 764 669 $0.00
G8926 Spirometry test not performed or documented, reason not given 4,247 3,994 $0.00
1123F 3,423 3,069 $0.00
3014F 1,063 990 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 9,919 9,020 $0.00
3074F 7,185 6,274 $0.00
3044F 240 221 $0.00
3079F 1,740 1,507 $0.00
99024 375 244 $0.00
1101F 266 230 $0.00
3080F 17 14 $0.00
1111F 247 236 $0.00
3052F 13 13 $0.00
4040F 2,319 2,100 $0.00
G8484 Influenza immunization was not administered, reason not given 195,770 177,859 $0.00
3078F 6,471 5,654 $0.00
3023F 4,538 4,259 $0.00
2022F 10,558 9,961 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 570 512 $0.00
G8598 Aspirin or another antiplatelet therapy used 2,478 2,267 $0.00
3046F 1,710 1,621 $0.00
G8421 Bmi not documented and no reason is given 740 711 $0.00
1090F 1,300 1,177 $0.00
3045F 190 179 $0.00
3077F 175 154 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 45 42 $0.00
0502F 71 55 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 12 12 $0.00
90671 16 14 $0.00