Mercy Specialist Physicians INC
Mercy Specialist Physicians INC was paid $101K by Medicaid between Jan 2018 and Feb 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
SPRINGFIELD, MA 01104
Next to other Addiction Medicine (Family Medicine) Physician providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,175 | $52K | |
| 2019 | 683 | $37K | |
| 2020 | 116 | $5K | |
| 2021 | 125 | $6K | |
| 2022 | 14 | $879.64 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 1,551 | 1,138 | $73K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 365 | 364 | $20K |
| 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 | 4.7% | 49 | 49 | $5K |
| 97803 | 2.1% | 54 | 54 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | 45 | $406.53 |
| 99442 | <1% | 19 | 14 | $395.39 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | 12 | $201.71 |
| 1124F | 0% | 16 | 15 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.