Mercy Inpatient Medical Associates INC.
Mercy Inpatient Medical Associates INC. was paid $6.96M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99285, emergency room visit (most serious) — 22% of everything it billed.
33Billing provider infoMERCY INPATIENT MEDICAL ASSOCIATES INC.
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1407845282assigned 10/14/2005
33bProvider typeRegistered Dietitian
28Total paid$6.96M
24GClaims144,791
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Dietitian providers in Massachusetts
Rank by total paid#1 of 39
Median peer was paid$8K
This provider vs. median868×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more
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 | 15,694 | $656K | |
| 2019 | 16,676 | $658K | |
| 2020 | 25,262 | $1.26M | |
| 2021 | 28,283 | $1.35M | |
| 2022 | 24,180 | $1.24M | |
| 2023 | 24,345 | $1.18M | |
| 2024incomplete | 10,351 | $615K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 22% | 20,271 | 19,555 | $1.54M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 23,312 | 22,595 | $1.44M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 38,808 | 37,794 | $1.40M |
| 99223 | Prolong inpt eval add15 m | 7.2% | 7,440 | 7,257 | $504K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 14,608 | 7,704 | $358K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 8,289 | 5,561 | $288K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.3% | 6,084 | 5,985 | $232K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 5,194 | 4,832 | $186K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 1,890 | 1,848 | $141K |
| 99460 | 1.8% | 1,230 | 1,228 | $128K | |
| 99464 | 1.4% | 1,763 | 1,757 | $98K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 1,835 | 1,810 | $92K |
37 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,626 | $85K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 958 | $73K |
| 99462 | <1% | 1,324 | $59K | |
| 99220 | <1% | 676 | $52K | |
| 20610 | <1% | 1,562 | $46K | |
| 99217 | <1% | 1,413 | $37K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 385 | $29K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 482 | $29K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 644 | $26K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 243 | $17K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 349 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 558 | $11K |
| 76801 | <1% | 165 | $10K | |
| 76813 | <1% | 162 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 148 | $8K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 314 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,268 | $6K |
| 99221 | <1% | 230 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 131 | $6K |
| 76821 | <1% | 108 | $5K | |
| 99292 | <1% | 37 | $3K | |
| 73564 | <1% | 150 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 109 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | $2K |
| 97597 | <1% | 165 | $2K | |
| 76820 | <1% | 90 | $2K | |
| 73130 | <1% | 86 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 201 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $796.63 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 65 | $739.26 |
| 20550 | <1% | 25 | $715.59 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 45 | $694.68 |
| 73110 | <1% | 38 | $661.75 | |
| 43753 | <1% | 99 | $438.40 | |
| 73501 | <1% | 13 | $259.83 | |
| 99406 | <1% | 15 | $44.25 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 84 | $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 officialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.