Physician
DR. Gino Mercadante, P.C.
DR. Gino Mercadante, P.C. was paid $871K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoDR. GINO MERCADANTE, P.C.
LUDLOW, MA 01056
LUDLOW, MA 01056
33aNPI1285828939assigned 09/05/2007
33bProvider typeInternal Medicine Physician
28Total paid$871K
24GClaims39,030
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#42 of 1,270
Median peer was paid$8K
This provider vs. median104×
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 | 8,852 | $131K | |
| 2019 | 7,801 | $120K | |
| 2020 | 6,637 | $109K | |
| 2021 | 6,050 | $123K | |
| 2022 | 3,087 | $129K | |
| 2023 | 3,387 | $126K | |
| 2024incomplete | 3,216 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 9,511 | 8,214 | $398K |
| 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 | 17% | 2,659 | 2,491 | $150K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13% | 1,231 | 1,168 | $109K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.5% | 1,870 | 1,754 | $83K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 265 | 256 | $25K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.1% | 1,964 | 1,892 | $18K |
| 93000 | 2.0% | 2,373 | 2,245 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 727 | 694 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 2,386 | 2,232 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,770 | 1,731 | $8K |
| 94375 | <1% | 618 | 552 | $7K | |
| 90686 | <1% | 709 | 681 | $7K |
29 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 128 | $5K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 389 | $5K |
| 84153 | <1% | 438 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,677 | $2K |
| ATP13 | <1% | 295 | $2K | |
| 80061 | Lipid panel | <1% | 2,174 | $2K |
| ATP08 | <1% | 358 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 27 | $1K |
| 83540 | <1% | 362 | $1K | |
| ATP14 | <1% | 284 | $1K | |
| ATP11 | <1% | 237 | $1K | |
| 84460 | <1% | 1,403 | $797.35 | |
| 84450 | <1% | 1,396 | $761.45 | |
| 82550 | <1% | 751 | $434.87 | |
| 90662 | <1% | 174 | $415.26 | |
| 82540 | <1% | 199 | $403.53 | |
| 80076 | <1% | 376 | $306.21 | |
| 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% | 130 | $286.91 |
| ATP15 | <1% | 28 | $217.80 | |
| 81002 | <1% | 56 | $70.07 | |
| ATP10 | <1% | 13 | $62.72 | |
| G0008 | Administration of influenza virus vaccine | <1% | 402 | $19.39 |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $12.13 |
| 1036F | 0% | 152 | $0.00 | |
| 3044F | 0% | 81 | $0.00 | |
| 3017F | 0% | 127 | $0.00 | |
| 3014F | 0% | 49 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 146 | $0.00 |
| 3023F | 0% | 83 | $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 officialWILSON, KIMBERLY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Enrich Personal Care Services, LLC. | Monroe, LA | $26.75M |
| Southern Care and Comfort in Home Agency, LLC | Poplar Bluff, MO | $15.39M |
| Texas Health Foundation, INC | Beaumont, TX | $646K |
| Karefirst Missouri PC | Des Peres, MO | $625K |
| Medical United Foundation, INC | Beaumont, TX | $235K |
| Karefirst Indiana PC | South Bend, IN | $168K |
| Karefirst Iowa PC | Norwalk, IA | $135K |
| Southwest Virginia Home Health Care, INC | Galax, VA | $86K |
| Karefirst Florida PA | North Bay Village, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.