NP / PA
Mercy Management of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania was paid $2K by Medicaid between Dec 2023 and Jan 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoMERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
DARBY, PA 19023
DARBY, PA 19023
33aNPI1396322111assigned 03/26/2021
33bProvider typeNurse Practitioner
28Total paid$2K
24GClaims30
24DCodes billed2
24AFirst – last monthDec 2023 – Jan 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#268 of 372
Median peer was paid$7K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 17 | $1K | |
| 2024incomplete | 13 | $766.21 |
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 | 63% | 17 | 14 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 37% | 13 | 12 | $766.21 |
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 officialCARUSO, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Nazareth Physician Services, INC. | Phila, PA | $651.75 |
| Mercy Management of Southeastern Pennsylvani | Philadelphia, PA | $170.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.