MERCY SPECIALIST PHYSICIANS INC

NPI: 1558500462 · SPRINGFIELD, MA 01104 · Addiction Medicine (Family Medicine) Physician · NPI assigned 02/17/2009

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$101K

Total Medicaid Paid

2,113

Total Claims

1,691

Beneficiaries

Codes Billed

2018-01

First Month

2022-02

Last Month

Provider Details

Authorized Official	HARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
Parent Organization	THE MERCY HOSPITAL, INC
NPI Enumeration Date	02/17/2009

Other providers sharing the same authorized official: HARRIS, JAMES

Provider	City	State	Total Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	HARTFORD	CT	$266.39M
SAINT MARY'S HOSPITAL, INC.	WATERBURY	CT	$163.27M
THE MERCY HOSPITAL INC	SPRINGFIELD	MA	$98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC	HARTFORD	CT	$41.97M
RIVERBEND MEDICAL GROUP, INC.	SPRINGFIELD	MA	$38.70M
SYSTEM COORDINATED SERVICES, INC	SPRINGFIELD	MA	$18.54M
BRIGHTSIDE INC	SPRINGFIELD	MA	$11.41M
THE MERCY HOSPITAL INC	HOLYOKE	MA	$10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC.	SPRINGFIELD	MA	$6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE	BUFFALO	NY	$6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC	HARTFORD	CT	$2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	HARTFORD	CT	$1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC	SPRINGFIELD	MA	$1.31M
MERCY MEDICAL GROUP, INC.	SPRINGFIELD	MA	$1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	HARTFORD	CT	$382K
PRATER VOLUNTEER RESCUE SQUAD INC	GRUNDY	VA	$331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC	DERRY	NH	$273K
HEALTH ACCESS, INC.	CLARKSBURG	WV	$85K
GIBSON COUNTY PODIATRY LLC	MILAN	TN	$83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	HARTFORD	CT	$45K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,551	1,138	$73K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	365	364	$20K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	49	49	$5K
97803		54	54	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	45	45	$406.53
99442		19	14	$395.39
99231	Subsequent hospital care, per day, straightforward or low complexity	14	12	$201.71
1124F		16	15	$0.00