Physician
Mercy Management of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania was paid $354K by Medicaid between Feb 2018 and Jan 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoMERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
DARBY, PA 19023
DARBY, PA 19023
33aNPI1427573492assigned 08/10/2017
33bProvider typeVascular Surgery Physician
28Total paid$354K
24GClaims4,442
24DCodes billed20
24AFirst – last monthFeb 2018 – Jan 2024
Compared with peers
Next to other Vascular Surgery Physician providers in Pennsylvania
Rank by total paid#3 of 42
Median peer was paid$3K
This provider vs. median101×
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 POWAR, AMIT controls 14+ 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 | 105 | $601.33 | |
| 2020 | 183 | $9K | |
| 2021 | 1,068 | $90K | |
| 2022 | 1,672 | $114K | |
| 2023 | 1,327 | $130K | |
| 2024incomplete | 87 | $10K |
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 | 25% | 1,086 | 1,050 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,358 | 1,334 | $73K |
| 99205 | Prolong outpt/office vis | 13% | 227 | 226 | $45K |
| 99223 | Prolong inpt eval add15 m | 11% | 300 | 280 | $41K |
| 99245 | 9.1% | 111 | 110 | $32K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.2% | 144 | 140 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 127 | 126 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 280 | 274 | $12K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.6% | 40 | 38 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 242 | 116 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 32 | 30 | $4K |
| 99255 | <1% | 28 | 26 | $2K |
8 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | $2K |
| 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 | <1% | 17 | $516.96 |
| 3725F | 0% | 86 | $0.00 | |
| 1160F | 0% | 63 | $0.00 | |
| 1159F | 0% | 48 | $0.00 | |
| 3074F | 0% | 41 | $0.00 | |
| 3008F | 0% | 76 | $0.00 | |
| 1036F | 0% | 89 | $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 officialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
| Provider | Location | Paid |
|---|---|---|
| Nazareth Physician Services, INC | Philadelphia, PA | $2.91M |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $2.19M |
| Nazareth Physician Services, INC. | Philadelphia, PA | $1.79M |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $1.49M |
| Nazareth Physician Services, INC. | Phila, PA | $778K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $499K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $434K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $396K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $171K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $154K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $139K |
| Nazareth Physician Services, INC. | Phila, PA | $100K |
| Nazareth Physician Services, INC | Philadelphia, PA | $61K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.