Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Toledo › NPI 1306468418
Physician

Mercy Health Physicians North Specialty Care LLC

Mercy Health Physicians North Specialty Care LLC was paid $13.04M by Medicaid between Jan 2022 and Dec 2024, across 191 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoMERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC
TOLEDO, OH 43604
33aNPI1306468418assigned 05/12/2020
33bProvider typeAllergy & Immunology Physician
28Total paid$13.04M
24GClaims778,683
24DCodes billed191
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Ohio

Rank by total paid#1 of 33
Median peer was paid$78K
This provider vs. median167×

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

$0$200K$400K$600K2018201920202021202220232024
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
2022323,375$4.70M
2023262,098$4.46M
2024incomplete193,210$3.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 82,815 68,082 $3.11M
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 16% 46,587 41,453 $2.06M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 13% 83,380 33,965 $1.72M
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 4.1% 8,189 7,436 $536K
99223 Prolong inpt eval add15 m 2.9% 6,084 5,468 $383K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.7% 5,873 1,833 $356K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.2% 9,708 3,109 $287K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 6,162 5,616 $279K
76819 Fetal biophysical profile; without non-stress testing 1.8% 8,533 4,299 $237K
99222 Initial hospital care, per day, moderate complexity 1.7% 5,294 4,727 $218K
99239 Hospital discharge day management, more than 30 minutes 1.7% 6,319 5,720 $217K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.5% 2,738 2,319 $189K
179 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 1,955 $178K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 4,657 $176K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 24,076 $154K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.1% 5,027 $144K
76820 1.1% 7,211 $143K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,889 $120K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,007 $119K
76825 <1% 1,332 $115K
99215 Doctor's office visit, returning patient (complex) <1% 1,833 $101K
95720 <1% 880 $98K
76821 <1% 3,439 $93K
99254 <1% 1,401 $92K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 999 $87K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,644 $86K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,306 $86K
11721 <1% 5,929 $84K
76830 Ultrasound, transvaginal <1% 1,380 $80K
17110 <1% 1,769 $78K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,380 $74K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 2,985 $69K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,635 $61K
90837 Psychotherapy session, about an hour <1% 788 $57K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 103 $44K
76801 <1% 1,071 $42K
99460 <1% 568 $42K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 660 $41K
76813 <1% 849 $40K
99245 <1% 555 $38K
93970 <1% 1,389 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,314 $35K
99255 <1% 390 $35K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 563 $35K
20610 <1% 960 $34K
76827 <1% 1,382 $32K
90834 Psychotherapy session, about 45 minutes <1% 660 $32K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 40 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,983 $25K
73564 <1% 1,235 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 831 $24K
95811 <1% 376 $24K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,674 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 601 $23K
99238 Hospital discharge day management, 30 minutes or less <1% 806 $22K
20611 <1% 372 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,694 $19K
77427 <1% 216 $19K
90791 Psychiatric diagnostic evaluation <1% 190 $19K
93971 <1% 1,073 $19K
95886 <1% 629 $18K
90935 Hemodialysis procedure with single evaluation by a physician <1% 663 $18K
73630 <1% 928 $16K
81025 <1% 2,552 $15K
95819 <1% 410 $14K
99243 <1% 417 $13K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 967 $13K
73610 <1% 734 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 112 $12K
77014 <1% 443 $11K
73030 <1% 719 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 61 $11K
90870 <1% 313 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 282 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 673 $9K
59025 Fetal non-stress test <1% 303 $8K
99253 <1% 171 $8K
36415 Collection of venous blood by venipuncture <1% 2,221 $7K
99152 <1% 1,105 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 227 $7K
11900 <1% 227 $6K
64493 <1% 134 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 39 $6K
87428 <1% 137 $5K
73560 <1% 429 $5K
99205 Prolong outpt/office vis <1% 77 $5K
93000 <1% 481 $5K
95816 <1% 178 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 147 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 418 $5K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 437 $5K
90832 Psychotherapy session, about 30 minutes <1% 145 $4K
93325 <1% 1,465 $4K
64494 <1% 192 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 56 $4K
11102 <1% 97 $4K
64615 <1% 40 $3K
H1000 Prenatal care, at-risk assessment <1% 48 $3K
95718 <1% 35 $3K
99236 Prolong inpt eval add15 m <1% 29 $3K
76818 <1% 89 $3K
72100 <1% 140 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 46 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 57 $2K
59430 <1% 18 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 66 $2K
99462 <1% 77 $2K
95911 <1% 30 $2K
99464 <1% 29 $2K
51798 <1% 263 $2K
93016 <1% 98 $2K
93272 <1% 67 $1K
99177 <1% 197 $1K
95909 <1% 27 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 62 $1K
73110 <1% 61 $1K
99459 <1% 75 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 36 $1K
77263 <1% 16 $1K
99284 Emergency room visit (serious) <1% 17 $991.18
90686 <1% 108 $950.30
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 273 $896.36
94729 <1% 130 $838.39
95910 <1% 14 $817.28
99385 <1% 12 $808.37
43235 <1% 13 $784.85
J1030 Injection, methylprednisolone acetate, 40 mg <1% 86 $777.93
93018 <1% 85 $776.60
93304 <1% 34 $741.33
99220 <1% 12 $726.95
93320 <1% 53 $673.75
92587 <1% 34 $644.75
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 31 $633.08
64483 <1% 19 $626.99
73502 <1% 33 $616.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 255 $572.41
62323 <1% 12 $509.87
73130 <1% 28 $491.60
77334 <1% 16 $465.26
99221 <1% 24 $457.81
73562 <1% 22 $438.92
93244 <1% 32 $430.02
94726 <1% 56 $402.30
99421 <1% 41 $395.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 27 $377.52
90670 <1% 49 $372.50
64484 <1% 12 $349.00
90698 <1% 55 $322.50
11045 <1% 18 $295.16
92557 <1% 14 $293.37
J1010 Injection, methylprednisolone acetate, 1 mg <1% 35 $286.43
81003 <1% 229 $272.26
99381 <1% 12 $263.83
93880 <1% 14 $252.90
93321 <1% 46 $248.91
93923 <1% 12 $181.36
94060 <1% 14 $158.41
92567 <1% 14 $152.74
90633 <1% 13 $111.25
85018 <1% 53 $94.47
90680 <1% 14 $70.00
90744 <1% 12 $50.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 108,575 $0.33
1123F <1% 3,813 $0.11
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% 387 $0.03
2022F <1% 2,163 $0.03
3074F <1% 5,634 $0.02
3078F <1% 5,666 $0.02
3044F <1% 91 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 59,546 $0.01
3046F <1% 667 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 6,199 $0.00
3017F 0% 27,931 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 8,673 $0.00
1036F 0% 71,141 $0.00
3079F 0% 658 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 1,468 $0.00
99024 0% 183 $0.00
3075F 0% 150 $0.00
1126F 0% 13 $0.00
3080F 0% 17 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 60,954 $0.00
3023F 0% 903 $0.00
4004F 0% 15,154 $0.00
G8421 Bmi not documented and no reason is given 0% 42 $0.00
G8482 Influenza immunization administered or previously received 0% 2,206 $0.00
1090F 0% 204 $0.00
3077F 0% 145 $0.00
4040F 0% 38 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 13 $0.00
1159F 0% 12 $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 officialCLARK, TODD (DIRECTOR FINANCE, MEDICAL GROUP)
Same official

Other billing entities under CLARK, TODD

Full network →
ProviderLocationPaid
Mercy Health Physicians-North LLCToledo, OH$42.09M
TLC & Care LLCFairfield, CT$59K
Team Physical Therapy LLCKailua, HI$1K

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