Mercy Medical Group, INC.
Mercy Medical Group, INC. was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoMERCY MEDICAL GROUP, INC.
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1316213143assigned 03/27/2012
33bProvider typeRegistered Dietitian
28Total paid$1.08M
24GClaims28,648
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Dietitian providers in Massachusetts
Rank by total paid#2 of 39
Median peer was paid$8K
This provider vs. median135×
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 HARRIS, JAMES controls 20+ related entities in our dataset. Read more
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 | 11,046 | $448K | |
| 2019 | 4,934 | $103K | |
| 2020 | 3,480 | $89K | |
| 2021 | 2,879 | $119K | |
| 2022 | 2,075 | $97K | |
| 2023 | 2,033 | $99K | |
| 2024incomplete | 2,201 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 16,724 | 15,111 | $756K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 3,317 | 3,193 | $112K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.4% | 1,543 | 1,381 | $101K |
| 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 | 3.7% | 446 | 446 | $40K |
| 99205 | Prolong outpt/office vis | 1.6% | 129 | 128 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 121 | 121 | $12K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.1% | 229 | 226 | $12K |
| 97802 | <1% | 115 | 115 | $11K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 38 | 38 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 65 | 65 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 44 | 44 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 13 | 13 | $2K |
13 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 31 | $1K |
| 97803 | <1% | 35 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | $922.20 |
| 99442 | <1% | 39 | $787.33 | |
| 90686 | <1% | 55 | $618.09 | |
| 90732 | <1% | 13 | $433.90 | |
| 93000 | <1% | 12 | $129.55 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | $128.58 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,269 | $0.00 |
| 1036F | 0% | 553 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 3,405 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 291 | $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 officialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.