Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mercy Health-Allen Hospital LLC

Mercy Health-Allen Hospital LLC was paid $411K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.

33Billing provider infoMERCY HEALTH-ALLEN HOSPITAL LLC
LAGRANGE, OH 44050
33aNPI1306070594assigned 05/04/2009
28Total paid$411K
24GClaims32,278
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Ohio

Rank by total paid#17 of 58
Median peer was paid$70K
This provider vs. median5.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20184,226$52K
20193,707$46K
20205,241$67K
20215,472$76K
20224,726$61K
20235,886$62K
2024incomplete3,020$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 41% 6,106 4,544 $166K
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 32% 4,139 2,748 $132K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 5,788 4,048 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 79 67 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 111 84 $1K
90688 <1% 73 57 $735.01
90460 Immunization administration through 18 years of age via any route, first or only component <1% 63 28 $722.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 32 16 $338.28
90686 <1% 33 18 $290.79
36415 Collection of venous blood by venipuncture <1% 83 57 $82.26
1036F 0% 2,677 2,263 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 87 81 $0.00
9 more codes
3014F 0% 14 $0.00
3017F 0% 675 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 289 $0.00
3074F 0% 15 $0.00
4004F 0% 1,524 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 4,682 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 2,660 $0.00
G8482 Influenza immunization administered or previously received 0% 320 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,828 $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 officialRALSTON, KIMBERLY (CEO)
Parent organizationMERCY HEALTH LORAIN LLC
Same official

Other billing entities under RALSTON, KIMBERLY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.