Clinic
ST Mary Mercy Physician Practices
ST Mary Mercy Physician Practices was paid $4.44M by Medicaid between Jan 2018 and Nov 2024, across 129 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoST MARY MERCY PHYSICIAN PRACTICES
LIVONIA, MI 48154
LIVONIA, MI 48154
33aNPI1568630077assigned 02/19/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.44M
24GClaims114,794
24DCodes billed129
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Michigan
Rank by total paid#6 of 44
Median peer was paid$362K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 26,632 | $803K | |
| 2019 | 26,167 | $846K | |
| 2020 | 21,601 | $820K | |
| 2021 | 24,779 | $1.13M | |
| 2022 | 9,514 | $527K | |
| 2023 | 5,757 | $301K | |
| 2024incomplete | 344 | $9K |
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 | 29% | 18,454 | 17,066 | $1.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 15,461 | 14,382 | $722K |
| 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 | 5.6% | 2,691 | 2,675 | $247K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 3,279 | 3,231 | $201K |
| 59426 | 2.9% | 166 | 166 | $130K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,352 | 1,278 | $123K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 1,446 | 1,436 | $113K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.5% | 1,014 | 1,001 | $109K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 1,312 | 1,298 | $109K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 3,431 | 1,521 | $99K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 1,208 | 762 | $97K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,517 | 1,470 | $95K |
117 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 119 | $87K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 1,195 | $86K |
| 99385 | 1.9% | 896 | $86K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.7% | 1,938 | $75K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 858 | $75K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 1,014 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 912 | $65K |
| 99386 | <1% | 345 | $39K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,032 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,017 | $36K |
| 99285 | Emergency room visit (most serious) | <1% | 395 | $33K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 542 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 953 | $26K |
| 99284 | Emergency room visit (serious) | <1% | 433 | $26K |
| 90686 | <1% | 1,613 | $23K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,724 | $23K |
| 90715 | <1% | 812 | $22K | |
| 59430 | <1% | 125 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,655 | $21K |
| 90836 | <1% | 332 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,757 | $16K |
| 99205 | Prolong outpt/office vis | <1% | 134 | $16K |
| 90632 | <1% | 273 | $15K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 177 | $15K |
| 81025 | <1% | 2,351 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 188 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,607 | $13K |
| 90651 | <1% | 90 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 203 | $9K |
| 43775 | <1% | 17 | $8K | |
| 99460 | <1% | 132 | $7K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 177 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 82 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 157 | $6K |
| 90670 | <1% | 775 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 79 | $5K |
| 93000 | <1% | 552 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 244 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 684 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 29 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 248 | $3K |
| 82962 | <1% | 1,283 | $3K | |
| 99254 | <1% | 29 | $3K | |
| 81002 | <1% | 1,191 | $3K | |
| 99221 | <1% | 48 | $2K | |
| 96127 | <1% | 843 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 174 | $2K |
| 99253 | <1% | 30 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 61 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 59025 | Fetal non-stress test | <1% | 59 | $1K |
| 99188 | <1% | 198 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 29 | $1K |
| 0064A | <1% | 24 | $965.22 | |
| 90474 | <1% | 251 | $938.98 | |
| 98927 | <1% | 27 | $875.68 | |
| 76801 | <1% | 14 | $822.48 | |
| 83655 | <1% | 84 | $812.43 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $723.42 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $604.37 |
| 0011A | <1% | 14 | $560.21 | |
| 0012A | <1% | 13 | $520.47 | |
| 99442 | <1% | 38 | $474.35 | |
| 92551 | <1% | 68 | $460.17 | |
| 76942 | <1% | 14 | $450.04 | |
| 90656 | <1% | 18 | $315.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $295.21 |
| 99443 | <1% | 16 | $275.48 | |
| 99441 | <1% | 40 | $264.53 | |
| 99051 | <1% | 49 | $245.00 | |
| 85018 | <1% | 122 | $227.56 | |
| 96373 | <1% | 17 | $173.41 | |
| 90707 | <1% | 15 | $165.00 | |
| 82247 | <1% | 41 | $158.08 | |
| 36416 | <1% | 40 | $92.16 | |
| 87210 | <1% | 33 | $62.66 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $59.40 |
| 82947 | <1% | 29 | $58.49 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 45 | $40.11 |
| 81003 | <1% | 17 | $32.52 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $8.17 |
| 2000F | <1% | 2,131 | $4.80 | |
| 96160 | <1% | 82 | $1.53 | |
| 3351F | <1% | 2,270 | $0.02 | |
| 3078F | <1% | 1,773 | $0.01 | |
| 3074F | <1% | 2,070 | $0.01 | |
| 3288F | 0% | 139 | $0.00 | |
| 90633 | 0% | 115 | $0.00 | |
| 3725F | 0% | 3,077 | $0.00 | |
| 1100F | 0% | 84 | $0.00 | |
| 90685 | 0% | 53 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 0502F | 0% | 428 | $0.00 | |
| 3077F | 0% | 147 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| 4274F | 0% | 100 | $0.00 | |
| 1158F | 0% | 91 | $0.00 | |
| 99173 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90461 | 0% | 18 | $0.00 | |
| 4000F | 0% | 54 | $0.00 | |
| 90680 | 0% | 387 | $0.00 | |
| 3080F | 0% | 91 | $0.00 | |
| 1034F | 0% | 675 | $0.00 | |
| 3044F | 0% | 146 | $0.00 | |
| 90698 | 0% | 484 | $0.00 | |
| 3079F | 0% | 647 | $0.00 | |
| 90744 | 0% | 252 | $0.00 | |
| 3353F | 0% | 81 | $0.00 | |
| 0500F | 0% | 12 | $0.00 | |
| 1036F | 0% | 1,401 | $0.00 | |
| 3075F | 0% | 208 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 307 | $0.00 |
| 1101F | 0% | 44 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 99024 | 0% | 17 | $0.00 | |
| 4086F | 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 officialSPIVEY, DAVID (PRESIDENT & CEO)
Parent organizationST MARY MERCY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Preferred Pain Management, P.A, | Winston Salem, NC | $338K |
| ST Mary Mercy Hospital Professional | Livonia, MI | $179K |
| ST Mary Mercy Hospital Professional | Ann Arbor, MI | $118K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.