Behavioral
Mercy Health Physicians Lima, LLC
Mercy Health Physicians Lima, LLC was paid $9.17M by Medicaid between Jan 2018 and Dec 2024, across 148 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS LIMA, LLC
LIMA, OH 45801
LIMA, OH 45801
33aNPI1225292865assigned 07/14/2008
33bProvider typeSocial Worker
28Total paid$9.17M
24GClaims721,520
24DCodes billed148
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Ohio
Rank by total paid#1 of 225
Median peer was paid$12K
This provider vs. median767×
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 | 139,878 | $1.65M | |
| 2019 | 152,122 | $1.89M | |
| 2020 | 147,883 | $1.75M | |
| 2021 | 81,460 | $977K | |
| 2022 | 88,836 | $1.21M | |
| 2023 | 62,942 | $974K | |
| 2024incomplete | 48,399 | $723K |
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 | 41% | 75,861 | 67,087 | $3.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 96,629 | 85,195 | $3.13M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 25,465 | 11,055 | $356K |
| 80305 | 2.8% | 28,883 | 18,276 | $254K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.6% | 2,347 | 2,125 | $146K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 3,448 | 3,220 | $145K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 23,929 | 19,122 | $130K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 5,748 | 2,886 | $117K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 3,762 | 3,458 | $101K |
| 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 | 1.1% | 1,499 | 1,426 | $99K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,128 | 3,007 | $88K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,097 | 1,572 | $60K |
136 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,372 | $53K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 954 | $52K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,032 | $43K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,347 | $34K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,252 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,252 | $28K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 833 | $28K |
| 64635 | <1% | 625 | $27K | |
| 95886 | <1% | 681 | $26K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 31 | $23K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 641 | $22K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 856 | $22K |
| 93000 | <1% | 2,024 | $21K | |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | <1% | 656 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,475 | $17K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 302 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,506 | $16K |
| 93295 | <1% | 421 | $14K | |
| 95911 | <1% | 145 | $13K | |
| 93016 | <1% | 848 | $12K | |
| 64636 | <1% | 549 | $12K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 225 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 481 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 144 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 245 | $10K |
| 94060 | <1% | 1,142 | $9K | |
| 93296 | <1% | 699 | $8K | |
| 0002A | <1% | 215 | $8K | |
| 64493 | <1% | 212 | $8K | |
| 0001A | <1% | 232 | $8K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 144 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 584 | $8K |
| 93018 | <1% | 835 | $7K | |
| 95811 | <1% | 106 | $6K | |
| 95816 | <1% | 369 | $6K | |
| 99490 | Ccm add 20min | <1% | 987 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 75 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 333 | $5K |
| 99219 | <1% | 88 | $5K | |
| 90686 | <1% | 297 | $5K | |
| 64494 | <1% | 211 | $5K | |
| 93298 | <1% | 270 | $4K | |
| 52000 | <1% | 72 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 125 | $4K |
| 93299 | <1% | 342 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 52 | $4K |
| 51798 | <1% | 455 | $4K | |
| 95117 | <1% | 480 | $3K | |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 101 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 86 | $3K |
| 94729 | <1% | 931 | $3K | |
| 94726 | <1% | 854 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 27 | $2K |
| 93227 | <1% | 115 | $2K | |
| 81003 | <1% | 1,477 | $2K | |
| 99307 | <1% | 378 | $2K | |
| 90688 | <1% | 137 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 538 | $2K |
| 97802 | <1% | 24 | $2K | |
| 90961 | <1% | 60 | $2K | |
| 99217 | <1% | 51 | $1K | |
| 52310 | <1% | 13 | $1K | |
| 64495 | <1% | 55 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 264 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 118 | $1K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 78 | $1K |
| 62323 | <1% | 26 | $990.70 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 74 | $979.34 |
| 99225 | <1% | 47 | $956.06 | |
| 52332 | <1% | 28 | $897.50 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $891.87 |
| 90966 | <1% | 51 | $819.63 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $731.77 |
| 27096 | <1% | 13 | $723.77 | |
| 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% | 101 | $648.50 |
| 97803 | <1% | 16 | $628.07 | |
| 96130 | <1% | 16 | $592.60 | |
| 96131 | <1% | 16 | $592.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $581.93 |
| 90674 | <1% | 26 | $575.06 | |
| 64490 | <1% | 14 | $540.56 | |
| 20553 | <1% | 16 | $500.42 | |
| 99441 | <1% | 26 | $485.58 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 13 | $445.75 |
| 90661 | <1% | 20 | $444.04 | |
| 93294 | <1% | 27 | $400.67 | |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | <1% | 29 | $400.18 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $399.57 |
| 64483 | <1% | 13 | $388.76 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $351.47 |
| 94618 | <1% | 31 | $307.72 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 14 | $242.24 |
| 64491 | <1% | 12 | $238.11 | |
| 99442 | <1% | 16 | $205.99 | |
| 95819 | <1% | 18 | $198.09 | |
| 93272 | <1% | 12 | $189.27 | |
| 99421 | <1% | 15 | $171.28 | |
| 96160 | <1% | 53 | $168.42 | |
| 93297 | <1% | 17 | $156.21 | |
| 99224 | <1% | 16 | $153.90 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 16 | $151.40 |
| 99221 | <1% | 64 | $150.44 | |
| 94010 | <1% | 13 | $74.12 | |
| 94727 | <1% | 12 | $44.79 | |
| 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% | 1,232 | $39.74 |
| 91300 | <1% | 446 | $4.28 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 112,352 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 65,993 | $0.00 |
| 4004F | 0% | 39,501 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 66,780 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,764 | $0.00 |
| 2022F | 0% | 1,460 | $0.00 | |
| 3078F | 0% | 1,185 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 1,930 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 321 | $0.00 |
| 4040F | 0% | 563 | $0.00 | |
| 3023F | 0% | 1,156 | $0.00 | |
| 3046F | 0% | 146 | $0.00 | |
| 3077F | 0% | 81 | $0.00 | |
| 1090F | 0% | 83 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 12 | $0.00 |
| 3045F | 0% | 33 | $0.00 | |
| 3017F | 0% | 29,109 | $0.00 | |
| 1036F | 0% | 52,004 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 10,399 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 6,065 | $0.00 |
| 1123F | 0% | 735 | $0.00 | |
| 3074F | 0% | 998 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 1,052 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 11,167 | $0.00 |
| 3079F | 0% | 125 | $0.00 | |
| 1101F | 0% | 155 | $0.00 | |
| 3075F | 0% | 117 | $0.00 | |
| 3014F | 0% | 179 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 16 | $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 officialRECKER, JEFF (DIRECTOR FINANCE, MEDICAL GROUP)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Lima, OH | $4.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.