Physician
Mercy Health Physicians Lima Specialty Care LLC
Mercy Health Physicians Lima Specialty Care LLC was paid $4.93M by Medicaid between Jan 2021 and Dec 2024, across 104 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC
LIMA, OH 45801
LIMA, OH 45801
33aNPI1518589803assigned 05/11/2020
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$4.93M
24GClaims356,096
24DCodes billed104
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#1 of 31
Median peer was paid$60K
This provider vs. median82×
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 | |
|---|---|---|---|
| 2021 | 89,912 | $1.10M | |
| 2022 | 100,543 | $1.20M | |
| 2023 | 95,893 | $1.41M | |
| 2024incomplete | 69,748 | $1.22M |
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 | 34% | 39,834 | 35,613 | $1.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 56,429 | 51,376 | $1.25M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.8% | 14,055 | 5,744 | $234K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.9% | 30,700 | 22,837 | $193K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.4% | 3,457 | 1,008 | $169K |
| 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 | 3.0% | 2,363 | 2,201 | $150K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.9% | 4,197 | 3,963 | $145K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.9% | 301 | 108 | $142K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.1% | 4,435 | 3,105 | $102K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 1,805 | 1,644 | $95K |
| 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% | 2,753 | 2,543 | $82K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 3,536 | 1,817 | $76K |
92 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 3,236 | $54K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,765 | $52K |
| 90837 | Psychotherapy session, about an hour | <1% | 659 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,753 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,900 | $39K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 841 | $36K |
| 95886 | <1% | 788 | $31K | |
| 95117 | <1% | 3,286 | $26K | |
| 93000 | <1% | 2,661 | $25K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 549 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 371 | $23K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 709 | $21K |
| 64635 | <1% | 342 | $19K | |
| 99205 | Prolong outpt/office vis | <1% | 242 | $17K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 282 | $16K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 471 | $13K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 393 | $12K |
| 93016 | <1% | 766 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 254 | $11K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 163 | $10K |
| 94060 | <1% | 1,113 | $9K | |
| 95911 | <1% | 82 | $8K | |
| 93018 | <1% | 735 | $6K | |
| 99152 | <1% | 966 | $6K | |
| 64636 | <1% | 289 | $6K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 472 | $6K |
| 64615 | <1% | 68 | $5K | |
| 77427 | <1% | 42 | $5K | |
| 95811 | <1% | 78 | $4K | |
| 94726 | <1% | 1,098 | $4K | |
| 94729 | <1% | 1,128 | $4K | |
| 80305 | <1% | 514 | $4K | |
| 99490 | Ccm add 20min | <1% | 2,166 | $3K |
| 51798 | <1% | 411 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 107 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 170 | $2K |
| 95816 | <1% | 133 | $2K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 155 | $2K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 13 | $2K |
| 93227 | <1% | 88 | $2K | |
| 93458 | <1% | 14 | $1K | |
| 99220 | <1% | 26 | $1K | |
| 90838 | <1% | 14 | $993.81 | |
| 81003 | <1% | 872 | $799.28 | |
| 27096 | <1% | 14 | $748.47 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 124 | $728.51 |
| 96130 | <1% | 17 | $720.00 | |
| 96131 | <1% | 17 | $720.00 | |
| 93296 | <1% | 56 | $614.29 | |
| 64493 | <1% | 13 | $593.42 | |
| 93272 | <1% | 37 | $581.41 | |
| 95910 | <1% | 14 | $577.11 | |
| 64494 | <1% | 20 | $449.35 | |
| 99221 | <1% | 27 | $389.26 | |
| 99219 | <1% | 12 | $351.47 | |
| 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) | <1% | 25 | $161.14 |
| 99443 | <1% | 12 | $143.69 | |
| 93297 | <1% | 12 | $131.50 | |
| 93308 | <1% | 12 | $124.29 | |
| 99305 | <1% | 17 | $90.56 | |
| 93325 | <1% | 26 | $56.16 | |
| 94010 | <1% | 13 | $45.11 | |
| 99406 | <1% | 13 | $39.13 | |
| A4617 | Mouth piece | <1% | 13 | $9.05 |
| 4004F | 0% | 7,325 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 45,989 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 22,085 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28,499 | $0.00 |
| 3023F | 0% | 809 | $0.00 | |
| 3078F | 0% | 2,574 | $0.00 | |
| 3077F | 0% | 328 | $0.00 | |
| 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) | 0% | 130 | $0.00 |
| 4040F | 0% | 183 | $0.00 | |
| 2022F | 0% | 208 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 15 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 32 | $0.00 |
| 1090F | 0% | 53 | $0.00 | |
| 99491 | Ccm add 20min | 0% | 20 | $0.00 |
| 3046F | 0% | 14 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 77 | $0.00 |
| 1036F | 0% | 25,669 | $0.00 | |
| 3017F | 0% | 15,963 | $0.00 | |
| 3075F | 0% | 89 | $0.00 | |
| 3074F | 0% | 2,411 | $0.00 | |
| 3079F | 0% | 415 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 271 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 157 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 747 | $0.00 |
| 1123F | 0% | 1,097 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 303 | $0.00 |
| 3080F | 0% | 12 | $0.00 | |
| 99024 | 0% | 77 | $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 officialRECKER, JEFF (DIRECTOR FINANCE, MEDICAL GROUP)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Lima, LLC | Lima, OH | $9.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.