Physician
Mercy Clinic Children's Hospitalists - ST. Louis, LLC
Mercy Clinic Children's Hospitalists - ST. Louis, LLC was paid $786K by Medicaid between Sep 2020 and Oct 2024, across 12 billing codes. Its largest line is 99460, — 50% of everything it billed.
33Billing provider infoMERCY CLINIC CHILDREN'S HOSPITALISTS - ST. LOUIS, LLC
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1235225475assigned 10/05/2006
33bProvider typePediatrics Physician
28Total paid$786K
24GClaims10,355
24DCodes billed12
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#48 of 992
Median peer was paid$40K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2020 | 41 | $2K | |
| 2021 | 2,616 | $165K | |
| 2022 | 2,972 | $223K | |
| 2023 | 2,503 | $205K | |
| 2024incomplete | 2,223 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99460 | 50% | 4,477 | 4,412 | $389K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 15% | 1,947 | 1,909 | $117K |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 1,147 | 1,128 | $104K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.7% | 987 | 968 | $52K |
| 99462 | 4.6% | 1,020 | 830 | $36K | |
| 99223 | Prolong inpt eval add15 m | 4.3% | 165 | 165 | $34K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 239 | 157 | $20K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.7% | 137 | 136 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 99 | 96 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 112 | 77 | $7K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 12 | 12 | $2K |
| 99221 | <1% | 13 | 13 | $954.30 |
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 officialJOHNSTON, JEFFREY (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
Parent organizationMERCY HOSPITALS EAST COMMUNITIES
| Provider | Location | Paid |
|---|---|---|
| Jefferson Regional Outpatient Facilities, LLC | Festus, MO | $1.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.