Physician
Mercado, Jorge
Mercado, Jorge was paid $92K by Medicaid between Sep 2019 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoMERCADO, JORGE
ERIE, PA 16508
ERIE, PA 16508
33aNPI1447411970assigned 06/18/2008
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$92K
24GClaims2,749
24DCodes billed8
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#4 of 58
Median peer was paid$5K
This provider vs. median20×
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
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 | |
|---|---|---|---|
| 2019 | 29 | $897.13 | |
| 2020 | 398 | $9K | |
| 2021 | 471 | $14K | |
| 2022 | 646 | $19K | |
| 2023 | 598 | $25K | |
| 2024incomplete | 607 | $24K |
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 | 63% | 1,403 | 1,373 | $58K |
| 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 | 11% | 130 | 130 | $10K |
| 94726 | 8.1% | 353 | 351 | $7K | |
| 94729 | 8.0% | 329 | 327 | $7K | |
| 94060 | 6.5% | 301 | 299 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 91 | 53 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 31 | 31 | $1K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 111 | 111 | $1.83 |
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.