Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › MERCY HOSPITALS EAST COMMUNITIES

MERCY HOSPITALS EAST COMMUNITIES

NPI: 1427098169 · SAINT LOUIS, MO 63141 · Family Medicine Physician · NPI assigned 06/08/2006

$56.55M
Total Medicaid Paid
476,120
Total Claims
403,149
Beneficiaries
191
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCOFFIC, DENISE (VICE PRESIDENT FINANCE)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: SCOFFIC, DENISE

ProviderCityStateTotal Paid
MERCY HOSPITALS EAST COMMUNITIES SAINT LOUIS MO $2.59M
MERCY HEALTH SERVICES, LLC SAINT LOUIS MO $152K
MERCY HEALTH SERVICES LLC SAINT LOUIS MO $147K
MERCY HEALTH SERVICES LLC SAINT LOUIS MO $37K
MERCY HOSPITALS EAST COMMUNITIES SAINT LOUIS MO $15K
MERCY HEALTH SERVICES, LLC ST. LOUIS MO $15K
MERCY HOSPITALS EAST COMMUNITIES SAINT LOUIS MO $883.43

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65,076 $14.06M
2019 61,876 $12.75M
2020 54,861 $4.67M
2021 68,695 $2.07M
2022 77,413 $6.57M
2023 83,256 $8.69M
2024 64,943 $7.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Y7506 37,986 32,087 $9.24M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 53,063 42,674 $9.06M
99284 Emergency department visit for the evaluation and management, high severity 45,032 35,922 $6.65M
99283 Emergency department visit for the evaluation and management, moderate severity 42,349 33,768 $5.73M
X4011 State-specific procedure code 19,040 18,025 $3.75M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 54,809 44,469 $2.23M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 25,009 22,582 $1.58M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,469 6,684 $1.46M
80053 Comprehensive metabolic panel 43,162 35,689 $1.42M
0202U Oncology (prostate), multianalyte, gene expression profiling 3,687 3,632 $1.06M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,129 1,557 $1.02M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,100 2,021 $882K
59025 Fetal non-stress test 4,483 1,923 $879K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,357 1,305 $739K
55175 570 549 $679K
93325 1,690 1,599 $638K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,364 4,192 $542K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,604 9,070 $539K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,369 11,339 $526K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,577 1,538 $452K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,163 1,894 $436K
93320 1,032 980 $431K
42820 Tonsillectomy and adenoidectomy; younger than age 12 120 115 $350K
81002 7,139 5,564 $306K
74018 2,673 2,443 $253K
X4003 4,285 3,132 $243K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,451 1,396 $242K
54304 136 135 $237K
76770 2,675 2,654 $231K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,179 2,149 $210K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 201 194 $189K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,930 2,899 $177K
94060 1,185 1,173 $177K
36591 3,366 2,038 $175K
90686 4,247 4,232 $172K
81001 3,438 3,148 $171K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,695 1,470 $167K
V2020 Frames, purchases 1,897 1,844 $129K
90698 2,221 2,204 $117K
90853 Group psychotherapy (other than of a multiple-family group) 836 166 $108K
90670 1,698 1,695 $108K
87086 Culture, bacterial; quantitative colony count, urine 2,230 2,105 $103K
83036 Hemoglobin; glycosylated (A1C) 2,366 2,340 $98K
80061 Lipid panel 1,452 1,439 $89K
D7999 662 660 $89K
92567 1,762 1,743 $87K
36415 Collection of venous blood by venipuncture 2,556 2,131 $84K
G0378 Hospital observation service, per hour 294 245 $81K
45380 Colonoscopy, flexible; with biopsy, single or multiple 143 139 $75K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 769 714 $72K
87070 707 693 $70K
V2784 Lens, polycarbonate or equal, any index, per lens 1,150 1,126 $70K
J3490 Unclassified drugs 3,116 2,364 $69K
84443 Thyroid stimulating hormone (TSH) 1,224 1,194 $64K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 867 848 $60K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 840 822 $59K
84450 1,067 1,065 $58K
84460 1,064 1,063 $57K
87631 176 175 $56K
96375 Therapeutic injection; each additional sequential IV push 1,495 884 $55K
84439 841 834 $54K
71046 Radiologic examination, chest; 2 views 705 691 $54K
90744 993 987 $54K
90633 1,089 1,084 $53K
54161 25 25 $51K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 628 580 $48K
90681 881 878 $47K
81003 672 634 $45K
90651 705 705 $43K
83655 1,240 1,235 $41K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 413 401 $40K
53605 54 42 $37K
86140 425 394 $37K
80081 491 454 $35K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 232 181 $33K
85018 1,098 1,093 $33K
85014 1,098 1,093 $33K
94760 630 612 $29K
96367 887 515 $29K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 721 699 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 529 510 $28K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3,077 2,997 $26K
87807 85 85 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 344 338 $21K
87081 1,115 1,092 $21K
92555 220 217 $21K
94761 29 27 $20K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 54 54 $19K
74019 228 222 $18K
87481 87 82 $18K
87511 71 69 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 168 165 $17K
90734 219 219 $16K
83516 46 46 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 393 338 $15K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 81 74 $14K
82397 141 141 $14K
92587 215 214 $13K
80048 Basic metabolic panel (calcium, ionized) 89 79 $11K
0072A 293 293 $11K
94010 561 540 $10K
82784 92 92 $10K
87799 33 33 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 115 115 $9K
X4006 14 12 $9K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 98 97 $9K
92552 52 50 $8K
Y7507 119 66 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 46 41 $7K
82728 295 285 $7K
95819 24 24 $6K
92015 Determination of refractive state 851 842 $6K
15852 13 13 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 158 151 $6K
85610 53 50 $6K
85652 50 50 $6K
87088 164 154 $6K
71045 Radiologic examination, chest; single view 115 71 $6K
0071A 197 197 $5K
90707 122 122 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 174 172 $5K
90716 127 125 $4K
D2930 Prefabricated stainless steel crown - primary tooth 17 17 $4K
86580 67 67 $4K
87428 163 157 $4K
84702 510 455 $4K
81025 326 308 $3K
92579 40 40 $3K
90710 44 44 $3K
0240U 34 34 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $3K
73120 52 50 $3K
0052A 95 94 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 39 39 $3K
90715 36 36 $3K
86803 44 43 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 31 24 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28 28 $3K
54162 13 12 $3K
92582 29 28 $3K
90656 569 507 $3K
74455 12 12 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 32 14 $2K
90677 427 411 $2K
D7140 Extraction, erupted tooth or exposed root 17 17 $2K
0001A 56 54 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 29 29 $2K
90620 29 29 $2K
82950 70 70 $2K
0002A 54 54 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 54 54 $2K
84466 251 242 $2K
86900 58 57 $2K
96417 57 36 $2K
82607 198 191 $1K
95812 13 13 $1K
83037 219 217 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 36 35 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 26 $1K
82746 180 174 $1K
93308 23 15 $950.74
85027 28 28 $927.66
83540 251 242 $869.65
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 13 12 $763.88
83615 252 238 $722.38
0124A 35 35 $680.00
86901 58 57 $529.66
84484 43 37 $457.02
81513 48 43 $456.40
0003A 19 19 $440.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 139 123 $373.10
87430 93 92 $358.81
D1120 Prophylaxis - child 14 14 $344.57
83880 13 13 $333.52
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 44 43 $331.32
82657 78 64 $228.85
84703 37 37 $194.20
90480 17 17 $190.16
D1110 Prophylaxis - adult 33 20 $168.08
90619 29 29 $163.62
54450 19 14 $146.65
83690 25 25 $57.82
87653 16 16 $28.07
J7050 Infusion, normal saline solution, 250 cc 38 25 $1.47
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 188 114 $0.00
G0008 Administration of influenza virus vaccine 356 348 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 16 16 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 14 14 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $0.00
90662 44 44 $0.00
88302 12 12 $0.00