Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mercy Clinic Oklahoma Communities

Mercy Clinic Oklahoma Communities was paid $45.24M by Medicaid between Jan 2018 and Dec 2024, across 161 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoMERCY CLINIC OKLAHOMA COMMUNITIES
OKLAHOMA CITY, OK 73120
33aNPI1386874550assigned 07/21/2009
33bProvider typeInternal Medicine Physician
28Total paid$45.24M
24GClaims682,891
24DCodes billed161
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Oklahoma

Rank by total paid#1 of 108
Median peer was paid$75K
This provider vs. median601×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201881,221$4.32M
201975,559$4.20M
202050,350$3.02M
202172,842$4.97M
2022140,922$9.83M
2023145,875$10.54M
2024incomplete116,122$8.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 146,157 139,503 $12.08M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 160,337 152,345 $10.20M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 45,028 44,380 $5.61M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 50,106 49,599 $4.97M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.3% 17,320 17,034 $1.50M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.9% 22,430 22,244 $1.29M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 12,177 12,172 $1.13M
90460 Immunization administration through 18 years of age via any route, first or only component 2.3% 22,411 22,331 $1.03M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 1.6% 405 405 $728K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.6% 18,004 7,646 $718K
87428 1.6% 22,262 21,873 $712K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 7,971 7,969 $685K
149 more codes
99204 Doctor's office visit, new patient (more involved) 1.3% 5,149 $577K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,668 $338K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,492 $314K
87430 <1% 21,059 $308K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,857 $264K
99223 Prolong inpt eval add15 m <1% 2,309 $245K
99239 Hospital discharge day management, more than 30 minutes <1% 3,627 $231K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,133 $227K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,150 $173K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,840 $167K
99215 Doctor's office visit, returning patient (complex) <1% 1,462 $131K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,212 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,756 $98K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,292 $97K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 893 $86K
99222 Initial hospital care, per day, moderate complexity <1% 1,079 $84K
99238 Hospital discharge day management, 30 minutes or less <1% 1,160 $75K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,627 $75K
99460 <1% 745 $67K
20610 <1% 1,453 $58K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,195 $51K
36415 Collection of venous blood by venipuncture <1% 14,529 $48K
87420 <1% 3,636 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 694 $41K
76830 Ultrasound, transvaginal <1% 601 $39K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 88 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,002 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,937 $30K
90472 Immunization administration, each additional vaccine (list separately) <1% 818 $26K
54150 <1% 264 $24K
95886 <1% 244 $23K
62323 <1% 290 $22K
90686 <1% 3,838 $20K
0001A <1% 500 $20K
99205 Prolong outpt/office vis <1% 138 $20K
87400 <1% 786 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 183 $19K
92567 <1% 1,408 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 232 $17K
72100 <1% 602 $17K
72110 <1% 430 $16K
77427 <1% 107 $12K
73562 <1% 374 $12K
81003 <1% 5,818 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 526 $11K
64493 <1% 117 $11K
59410 <1% 13 $10K
90715 <1% 363 $10K
87807 <1% 816 $10K
92557 <1% 319 $9K
62321 <1% 98 $8K
77014 <1% 234 $7K
73110 <1% 257 $7K
81025 <1% 917 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 339 $7K
64615 <1% 86 $6K
92579 <1% 150 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 24 $6K
64494 <1% 102 $5K
76801 <1% 54 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 878 $5K
99308 Subsequent nursing facility care, per day, straightforward <1% 438 $5K
64505 <1% 41 $5K
99152 <1% 506 $5K
93000 <1% 558 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 216 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 30 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 598 $4K
90474 <1% 220 $4K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 621 $4K
97597 <1% 104 $4K
0002A <1% 88 $4K
99318 <1% 60 $3K
99292 <1% 36 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 26 $3K
99441 <1% 107 $3K
73030 <1% 159 $3K
95913 <1% 15 $3K
99406 <1% 240 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 359 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 333 $3K
J0588 Injection, incobotulinumtoxin a, 1 unit <1% 14 $3K
90677 <1% 1,019 $2K
99310 Prolong nursin fac eval 15m <1% 70 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 51 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $2K
73130 <1% 59 $2K
81002 <1% 528 $1K
90670 <1% 4,578 $1K
51798 <1% 254 $1K
90732 <1% 14 $1K
73140 <1% 59 $1K
90656 <1% 467 $1K
99307 <1% 128 $1K
64483 <1% 14 $1K
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% 588 $1K
95811 <1% 12 $1K
73564 <1% 58 $1K
92504 <1% 43 $953.78
73630 <1% 45 $880.24
99462 <1% 23 $846.17
72170 <1% 31 $702.80
51701 <1% 27 $663.70
83655 <1% 54 $619.45
71046 Radiologic examination, chest; 2 views <1% 41 $603.56
72050 <1% 13 $603.11
73502 <1% 39 $600.35
90688 <1% 72 $599.03
99442 <1% 49 $587.48
64616 <1% 15 $534.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 149 $517.12
92556 <1% 15 $502.39
95251 <1% 24 $492.33
99443 <1% 15 $476.28
J1040 Injection, methylprednisolone acetate, 80 mg <1% 51 $474.78
95800 <1% 12 $437.04
92552 <1% 14 $395.22
95806 <1% 12 $346.24
93016 <1% 29 $314.87
93880 <1% 12 $310.84
J1010 Injection, methylprednisolone acetate, 1 mg <1% 36 $308.13
90651 <1% 87 $268.52
85027 <1% 37 $212.50
85018 <1% 80 $183.38
90619 <1% 71 $155.66
93018 <1% 16 $127.90
93971 <1% 12 $123.12
96127 <1% 28 $122.92
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 13 $101.61
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $85.80
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 13 $63.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13 $8.04
96160 <1% 207 $2.84
90633 <1% 1,629 $0.08
90698 <1% 1,894 $0.03
90744 <1% 1,129 $0.02
90707 <1% 460 $0.01
90716 <1% 441 $0.01
90648 0% 1,048 $0.00
90710 0% 324 $0.00
90671 0% 557 $0.00
90700 0% 312 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 28 $0.00
90734 0% 14 $0.00
90672 0% 19 $0.00
90697 0% 1,246 $0.00
90680 0% 3,592 $0.00
90723 0% 434 $0.00
90696 0% 95 $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 officialHAHNE, CHRIS (CFO)