Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TOLEDO › MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC

MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC

NPI: 1306468418 · TOLEDO, OH 43604 · Allergy & Immunology Physician · NPI assigned 05/12/2020

$13.04M
Total Medicaid Paid
778,683
Total Claims
597,790
Beneficiaries
191
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLARK, TODD (DIRECTOR FINANCE, MEDICAL GROUP)
NPI Enumeration Date05/12/2020

Related Entities

Other providers sharing the same authorized official: CLARK, TODD

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS-NORTH LLC TOLEDO OH $42.09M
TLC & CARE LLC FAIRFIELD CT $59K
TEAM PHYSICAL THERAPY LLC KAILUA HI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 323,375 $4.70M
2023 262,098 $4.46M
2024 193,210 $3.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82,815 68,082 $3.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,587 41,453 $2.06M
99232 Subsequent hospital care, per day, moderate complexity 83,380 33,965 $1.72M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,189 7,436 $536K
99223 Prolong inpt eval add15 m 6,084 5,468 $383K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,873 1,833 $356K
99233 Prolong inpt eval add15 m 9,708 3,109 $287K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,162 5,616 $279K
76819 Fetal biophysical profile; without non-stress testing 8,533 4,299 $237K
99222 Initial hospital care, per day, moderate complexity 5,294 4,727 $218K
99239 Hospital discharge day management, more than 30 minutes 6,319 5,720 $217K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,738 2,319 $189K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,955 1,820 $178K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,657 3,707 $176K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,076 19,739 $154K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,027 3,593 $144K
76820 7,211 3,193 $143K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,889 2,478 $120K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,007 1,785 $119K
76825 1,332 1,053 $115K
99215 Prolong outpt/office vis 1,833 1,559 $101K
95720 880 384 $98K
76821 3,439 1,454 $93K
99254 1,401 1,260 $92K
J1050 Injection, medroxyprogesterone acetate, 1 mg 999 735 $87K
99244 Office or other outpatient consultation, moderate to high complexity 1,644 1,388 $86K
90792 Psychiatric diagnostic evaluation with medical services 1,306 1,164 $86K
11721 5,929 5,553 $84K
76830 Ultrasound, transvaginal 1,380 1,275 $80K
17110 1,769 1,602 $78K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,380 2,046 $74K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,985 1,606 $69K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,635 1,527 $61K
90837 Psychotherapy, 53 minutes with patient 788 532 $57K
J0585 Injection, onabotulinumtoxina, 1 unit 103 38 $44K
76801 1,071 903 $42K
99460 568 513 $42K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 660 625 $41K
76813 849 700 $40K
99245 555 417 $38K
93970 1,389 1,318 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,314 2,789 $35K
99255 390 357 $35K
95810 Polysomnography; sleep staging with 4 or more additional parameters 563 525 $35K
20610 960 761 $34K
76827 1,382 1,094 $32K
90834 Psychotherapy, 45 minutes with patient 660 482 $32K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 40 40 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,983 1,174 $25K
73564 1,235 923 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 831 710 $24K
95811 376 350 $24K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,674 1,069 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 601 562 $23K
99238 Hospital discharge day management, 30 minutes or less 806 710 $22K
20611 372 300 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,694 742 $19K
77427 216 106 $19K
90791 Psychiatric diagnostic evaluation 190 145 $19K
93971 1,073 1,006 $19K
95886 629 574 $18K
90935 Hemodialysis procedure with single evaluation by a physician 663 402 $18K
73630 928 801 $16K
81025 2,552 2,064 $15K
95819 410 380 $14K
99243 417 405 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 967 449 $13K
73610 734 638 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple 112 104 $12K
77014 443 73 $11K
73030 719 611 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 61 56 $11K
90870 313 99 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 282 282 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 673 493 $9K
59025 Fetal non-stress test 303 167 $8K
99253 171 149 $8K
36415 Collection of venous blood by venipuncture 2,221 1,667 $7K
99152 1,105 1,003 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 227 225 $7K
11900 227 167 $6K
64493 134 112 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 39 38 $6K
87428 137 132 $5K
73560 429 325 $5K
99205 Prolong outpt/office vis 77 67 $5K
93000 481 440 $5K
95816 178 159 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 147 146 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 418 320 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 437 342 $5K
90832 Psychotherapy, 30 minutes with patient 145 108 $4K
93325 1,465 1,179 $4K
64494 192 111 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 56 53 $4K
11102 97 96 $4K
64615 40 26 $3K
H1000 Prenatal care, at-risk assessment 48 37 $3K
95718 35 28 $3K
99236 Prolong inpt eval add15 m 29 26 $3K
76818 89 48 $3K
72100 140 135 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 46 31 $2K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 57 57 $2K
59430 18 13 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 66 66 $2K
99462 77 45 $2K
95911 30 30 $2K
99464 29 27 $2K
51798 263 228 $2K
93016 98 88 $2K
93272 67 58 $1K
99177 197 197 $1K
95909 27 27 $1K
99308 Subsequent nursing facility care, per day, straightforward 62 25 $1K
73110 61 51 $1K
99459 75 74 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 36 35 $1K
77263 16 12 $1K
99284 Emergency department visit for the evaluation and management, high severity 17 13 $991.18
90686 108 108 $950.30
96110 Developmental screening, with scoring and documentation, per standardized instrument 273 266 $896.36
94729 130 114 $838.39
95910 14 14 $817.28
99385 12 12 $808.37
43235 13 13 $784.85
J1030 Injection, methylprednisolone acetate, 40 mg 86 71 $777.93
93018 85 75 $776.60
93304 34 31 $741.33
99220 12 12 $726.95
93320 53 53 $673.75
92587 34 33 $644.75
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 31 24 $633.08
64483 19 19 $626.99
73502 33 27 $616.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 255 208 $572.41
62323 12 12 $509.87
73130 28 24 $491.60
77334 16 12 $465.26
99221 24 24 $457.81
73562 22 14 $438.92
93244 32 29 $430.02
94726 56 53 $402.30
99421 41 28 $395.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 27 $377.52
90670 49 49 $372.50
64484 12 12 $349.00
90698 55 55 $322.50
11045 18 12 $295.16
92557 14 13 $293.37
J1010 Injection, methylprednisolone acetate, 1 mg 35 29 $286.43
81003 229 174 $272.26
99381 12 12 $263.83
93880 14 14 $252.90
93321 46 40 $248.91
93923 12 12 $181.36
94060 14 12 $158.41
92567 14 14 $152.74
90633 13 13 $111.25
85018 53 51 $94.47
90680 14 14 $70.00
90744 12 12 $50.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 108,575 90,145 $0.33
1123F 3,813 3,408 $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) 387 371 $0.03
2022F 2,163 1,884 $0.03
3074F 5,634 4,851 $0.02
3078F 5,666 4,938 $0.02
3044F 91 84 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 59,546 50,188 $0.01
3046F 667 548 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 6,199 5,125 $0.00
3017F 27,931 24,501 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 8,673 6,158 $0.00
1036F 71,141 58,697 $0.00
3079F 658 560 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,468 1,308 $0.00
99024 183 154 $0.00
3075F 150 125 $0.00
1126F 13 12 $0.00
3080F 17 12 $0.00
G8484 Influenza immunization was not administered, reason not given 60,954 49,213 $0.00
3023F 903 829 $0.00
4004F 15,154 12,914 $0.00
G8421 Bmi not documented and no reason is given 42 24 $0.00
G8482 Influenza immunization administered or previously received 2,206 1,877 $0.00
1090F 204 184 $0.00
3077F 145 125 $0.00
4040F 38 36 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 13 13 $0.00
1159F 12 12 $0.00