Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY MEDICAL GROUP, INC.

NPI: 1316213143 · SPRINGFIELD, MA 01104 · Registered Dietitian · NPI assigned 03/27/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$1.08M
Total Medicaid Paid
28,648
Total Claims
25,991
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date03/27/2012

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,201 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,724 15,111 $756K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,317 3,193 $112K
99215 Prolong outpt/office vis 1,543 1,381 $101K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 446 446 $40K
99205 Prolong outpt/office vis 129 128 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 121 121 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 229 226 $12K
97802 115 115 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 38 38 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 65 65 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 44 44 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 82 $1K
99222 Initial hospital care, per day, moderate complexity 31 31 $1K
97803 35 35 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 50 50 $922.20
99442 39 39 $787.33
90686 55 55 $618.09
90732 13 13 $433.90
93000 12 12 $129.55
G0008 Administration of influenza virus vaccine 28 28 $128.58
G8783 Normal blood pressure reading documented, follow-up not required 1,269 1,083 $0.00
1036F 553 496 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 3,405 2,912 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 291 274 $0.00