Medicaid Provider Spending

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

MERCY INPATIENT MEDICAL ASSOCIATES INC.

NPI: 1407845282 · SPRINGFIELD, MA 01104 · Registered Dietitian · NPI assigned 10/14/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$6.96M
Total Medicaid Paid
144,791
Total Claims
129,928
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date10/14/2005

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,351 $615K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,271 19,555 $1.54M
99284 Emergency department visit for the evaluation and management, high severity 23,312 22,595 $1.44M
99283 Emergency department visit for the evaluation and management, moderate severity 38,808 37,794 $1.40M
99223 Prolong inpt eval add15 m 7,440 7,257 $504K
99232 Subsequent hospital care, per day, moderate complexity 14,608 7,704 $358K
99233 Prolong inpt eval add15 m 8,289 5,561 $288K
99239 Hospital discharge day management, more than 30 minutes 6,084 5,985 $232K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,194 4,832 $186K
99222 Initial hospital care, per day, moderate complexity 1,890 1,848 $141K
99460 1,230 1,228 $128K
99464 1,763 1,757 $98K
99238 Hospital discharge day management, 30 minutes or less 1,835 1,810 $92K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,626 1,589 $85K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 958 620 $73K
99462 1,324 1,264 $59K
99220 676 659 $52K
20610 1,562 1,199 $46K
99217 1,413 1,402 $37K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 385 268 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 482 283 $29K
76819 Fetal biophysical profile; without non-stress testing 644 319 $26K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 243 242 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 349 344 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 558 512 $11K
76801 165 162 $10K
76813 162 160 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 148 108 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 314 297 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,268 1,140 $6K
99221 230 220 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 131 122 $6K
76821 108 60 $5K
99292 37 37 $3K
73564 150 94 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 109 70 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 83 $2K
97597 165 101 $2K
76820 90 47 $2K
73130 86 57 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 201 175 $1K
99205 Prolong outpt/office vis 12 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) 65 65 $739.26
20550 25 24 $715.59
99309 Subsequent nursing facility care, per day, low to moderate complexity 45 38 $694.68
73110 38 25 $661.75
43753 99 97 $438.40
73501 13 12 $259.83
99406 15 15 $44.25
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 84 80 $0.00