Medicaid Provider Spending

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

MERCY HEALTH CLINICS, LLC

NPI: 1386921948 · CLAY CITY, KY 40312 · Rural Health Clinic/Center · NPI assigned 11/10/2011

$824K
Total Medicaid Paid
45,521
Total Claims
38,475
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTOCKER, TRENA (PRESIDENT)
Parent OrganizationMARCUM & WALLACE MEMORIAL HOSPITAL
NPI Enumeration Date11/10/2011

Related Entities

Other providers sharing the same authorized official: STOCKER, TRENA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,029 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,640 12,366 $560K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,633 6,379 $214K
99308 Subsequent nursing facility care, per day, straightforward 459 421 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 608 269 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 417 138 $6K
99442 208 194 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 233 211 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 69 57 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 39 $2K
90688 142 129 $2K
99441 83 73 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 88 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28 26 $984.86
99443 19 17 $915.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 71 54 $898.30
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 64 42 $607.22
90460 Immunization administration through 18 years of age via any route, first or only component 44 24 $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 91 83 $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 126 104 $393.71
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 28 24 $368.18
90674 18 13 $299.40
90658 13 13 $272.35
90686 17 16 $226.60
99307 14 13 $179.20
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 30 25 $152.01
96160 41 37 $90.06
T1015 Clinic visit/encounter, all-inclusive 57 51 $41.67
81002 53 50 $20.77
3017F 1,860 1,616 $0.00
1036F 2,638 2,280 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 102 95 $0.00
3014F 32 28 $0.00
3074F 239 218 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,958 3,441 $0.00
4004F 1,497 1,300 $0.00
G8482 Influenza immunization administered or previously received 415 362 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,230 5,409 $0.00
G8484 Influenza immunization was not administered, reason not given 2,875 2,474 $0.00
3078F 238 217 $0.00
2022F 51 49 $0.00
G0444 Annual depression screening, 5 to 15 minutes 21 17 $0.00