Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Mercy Health Physicians Springfield Primary Care LLC

Mercy Health Physicians Springfield Primary Care LLC was paid $2.16M by Medicaid between Jan 2021 and Dec 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoMERCY HEALTH PHYSICIANS SPRINGFIELD PRIMARY CARE LLC
URBANA, OH 43078
33aNPI1427679067assigned 05/06/2020
33bProvider typePhysician Assistant
28Total paid$2.16M
24GClaims201,853
24DCodes billed62
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Physician Assistant providers in Ohio

Rank by total paid#15 of 176
Median peer was paid$13K
This provider vs. median167×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
202142,347$460K
202255,478$561K
202357,948$575K
2024incomplete46,080$565K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 26,345 24,464 $1.31M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 17,091 15,659 $594K
99222 Initial hospital care, per day, moderate complexity 2.3% 1,082 993 $49K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.2% 1,191 937 $47K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 778 709 $38K
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 1.2% 386 355 $26K
90674 <1% 504 472 $12K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 822 409 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 178 174 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 176 175 $10K
36415 Collection of venous blood by venipuncture <1% 3,441 3,171 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 98 91 $6K
50 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 386 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 79 $5K
95251 <1% 189 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 266 $3K
90837 Psychotherapy session, about an hour <1% 40 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 82 $3K
87428 <1% 64 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 350 $2K
82962 <1% 780 $1K
90661 <1% 47 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 102 $999.34
99308 Subsequent nursing facility care, per day, straightforward <1% 110 $887.13
90791 Psychiatric diagnostic evaluation <1% 14 $845.16
96127 <1% 260 $759.09
99401 <1% 29 $453.52
99233 Hospital visit by a doctor, follow-up day (complex) <1% 13 $418.73
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $331.54
99406 <1% 55 $317.93
G0008 Administration of influenza virus vaccine <1% 58 $136.27
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 668 $77.15
90715 <1% 12 $40.20
81002 <1% 15 $26.45
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 19 $14.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 38,385 $0.09
2022F <1% 1,841 $0.02
3017F 0% 13,151 $0.00
1036F 0% 22,070 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 1,470 $0.00
3079F 0% 1,108 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 1,028 $0.00
3074F 0% 3,999 $0.00
1123F 0% 294 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,332 $0.00
90677 0% 14 $0.00
3075F 0% 432 $0.00
G8926 Spirometry test not performed or documented, reason not given 0% 283 $0.00
90651 0% 12 $0.00
90697 0% 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 24,500 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 18,946 $0.00
4004F 0% 11,316 $0.00
G8482 Influenza immunization administered or previously received 0% 1,409 $0.00
3078F 0% 3,136 $0.00
3023F 0% 1,102 $0.00
4040F 0% 29 $0.00
3046F 0% 182 $0.00
1090F 0% 19 $0.00
3051F 0% 14 $0.00
90734 0% 13 $0.00
3077F 0% 14 $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 officialHARDY, JOSEPH (VP OPERATIONS)
Same official

Other billing entities under HARDY, JOSEPH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.