Clinic
Cleveland Clinic Mercy Hospital
Cleveland Clinic Mercy Hospital was paid $342K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCLEVELAND CLINIC MERCY HOSPITAL
CANTON, OH 44708
CANTON, OH 44708
33aNPI1376559799assigned 07/31/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$342K
24GClaims12,897
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Ohio
Rank by total paid#23 of 48
Median peer was paid$245K
This provider vs. median1.4×
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
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 | 2,870 | $66K | |
| 2019 | 2,913 | $73K | |
| 2020 | 3,277 | $98K | |
| 2021 | 3,124 | $85K | |
| 2022 | 713 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 6,956 | 6,221 | $164K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 2,502 | 1,045 | $60K |
| 99223 | Prolong inpt eval add15 m | 8.1% | 416 | 398 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 763 | 582 | $24K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.3% | 660 | 632 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.0% | 339 | 325 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.0% | 689 | 310 | $10K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.7% | 244 | 229 | $9K |
| 99220 | 1.0% | 51 | 49 | $4K | |
| 99217 | <1% | 72 | 69 | $2K | |
| 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% | 61 | 60 | $2K |
| 99219 | <1% | 38 | 35 | $2K |
2 more codes
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 officialHOLT, MICHAEL (DIRECTOR OF FINANCE)
Parent organizationMERCY MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Frontier Medical Home Care INC | Roswell, NM | $1.43M |
| Mercy Dental Services | Canton, OH | $842K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.