Clinic
Mercy Health Clinics, LLC
Mercy Health Clinics, LLC was paid $824K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoMERCY HEALTH CLINICS, LLC
CLAY CITY, KY 40312
CLAY CITY, KY 40312
33aNPI1386921948assigned 11/10/2011
33bProvider typeRural Health Clinic/Center
28Total paid$824K
24GClaims45,521
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#71 of 265
Median peer was paid$400K
This provider vs. median2.1×
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 | 9,754 | $161K | |
| 2019 | 7,845 | $136K | |
| 2020 | 4,639 | $112K | |
| 2021 | 5,397 | $92K | |
| 2022 | 7,031 | $111K | |
| 2023 | 6,826 | $120K | |
| 2024incomplete | 4,029 | $93K |
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 | 68% | 14,640 | 12,366 | $560K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 7,633 | 6,379 | $214K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 459 | 421 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 608 | 269 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 417 | 138 | $6K |
| 99442 | <1% | 208 | 194 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 233 | 211 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 69 | 57 | $2K |
| 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 | <1% | 52 | 39 | $2K |
| 90688 | <1% | 142 | 129 | $2K | |
| 99441 | <1% | 83 | 73 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | 88 | $1K |
30 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | $984.86 |
| 99443 | <1% | 19 | $915.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $898.30 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 64 | $607.22 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 44 | $544.24 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 91 | $531.42 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 126 | $393.71 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 28 | $368.18 |
| 90674 | <1% | 18 | $299.40 | |
| 90658 | <1% | 13 | $272.35 | |
| 90686 | <1% | 17 | $226.60 | |
| 99307 | <1% | 14 | $179.20 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 30 | $152.01 |
| 96160 | <1% | 41 | $90.06 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 57 | $41.67 |
| 81002 | <1% | 53 | $20.77 | |
| 3017F | 0% | 1,860 | $0.00 | |
| 1036F | 0% | 2,638 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 102 | $0.00 |
| 3014F | 0% | 32 | $0.00 | |
| 3074F | 0% | 239 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,958 | $0.00 |
| 4004F | 0% | 1,497 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 415 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,230 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,875 | $0.00 |
| 3078F | 0% | 238 | $0.00 | |
| 2022F | 0% | 51 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 21 | $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 officialSTOCKER, TRENA (PRESIDENT)
Parent organizationMARCUM & WALLACE MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Mercy Health-Marcum & Wallace Hospital LLC | Irvine, KY | $19.51M |
| Mercy Health Clinics, LLC | Irvine, KY | $984K |
| Mercy Health Clinics, LLC | Beattyville, KY | $193K |
| Mercy Health-Marcum & Wallace Hospital LLC | Irvine, KY | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.