Clinic
Mercy Health Partners
Mercy Health Partners was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoMERCY HEALTH PARTNERS
SHELBY, MI 49455
SHELBY, MI 49455
33aNPI1588080030assigned 03/07/2014
33bProvider typeRural Health Clinic/Center
28Total paid$1.94M
24GClaims83,843
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#30 of 193
Median peer was paid$426K
This provider vs. median4.6×
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 | 12,676 | $331K | |
| 2019 | 12,552 | $327K | |
| 2020 | 7,344 | $186K | |
| 2021 | 11,717 | $270K | |
| 2022 | 12,528 | $285K | |
| 2023 | 12,886 | $284K | |
| 2024incomplete | 14,140 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 30,216 | 26,731 | $1.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 12,899 | 12,017 | $43K |
| 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 | 1.6% | 8,396 | 8,080 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,545 | 1,543 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,536 | 1,534 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,159 | 1,158 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,251 | 1,249 | $7K |
| 90686 | <1% | 2,269 | 2,261 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,223 | 1,220 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,860 | 4,837 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 734 | 468 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,279 | 1,164 | $3K |
38 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,945 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 685 | $2K |
| 90651 | <1% | 167 | $1K | |
| 90677 | <1% | 91 | $884.74 | |
| 0002A | <1% | 23 | $832.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,081 | $780.33 |
| 0001A | <1% | 30 | $697.25 | |
| 0071A | <1% | 14 | $489.49 | |
| 90715 | <1% | 205 | $455.71 | |
| 0064A | <1% | 12 | $454.20 | |
| 90670 | <1% | 272 | $422.78 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 276 | $359.03 |
| 90656 | <1% | 76 | $201.15 | |
| 98966 | <1% | 56 | $105.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $82.26 |
| 81002 | <1% | 314 | $60.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 501 | $27.60 |
| 3008F | <1% | 2,218 | $0.01 | |
| 3078F | 0% | 2,837 | $0.00 | |
| 90461 | 0% | 36 | $0.00 | |
| 90685 | 0% | 35 | $0.00 | |
| 90734 | 0% | 132 | $0.00 | |
| 90648 | 0% | 78 | $0.00 | |
| 90633 | 0% | 58 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $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% | 45 | $0.00 |
| 96160 | 0% | 13 | $0.00 | |
| 3075F | 0% | 478 | $0.00 | |
| 3074F | 0% | 3,112 | $0.00 | |
| 3044F | 0% | 386 | $0.00 | |
| 3079F | 0% | 967 | $0.00 | |
| 99406 | 0% | 31 | $0.00 | |
| 90698 | 0% | 147 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| S0250 | Comprehensive geriatric assessment and treatment planning performed by assessment team | 0% | 12 | $0.00 |
| 90744 | 0% | 13 | $0.00 | |
| 90474 | 0% | 14 | $0.00 | |
| 90723 | 0% | 43 | $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 officialGREEN, DANIEL (VICE PRESIDENT FINANCE GRAND RAPIDS)
Parent organizationMERCY HEALTH PARTNERS
| Provider | Location | Paid |
|---|---|---|
| Advantage Health Saint Mary's Medical Group | Grand Rapids, MI | $21.94M |
| Advantage Health/Saint Mary's Medical Group | Grand Rapids, MI | $16.99M |
| Mercy Health Partners | Whitehall, MI | $3.51M |
| Mercy Health Partners | Ludington, MI | $2.19M |
| Mercy Health Partners | Hart, MI | $2.10M |
| Advantage Health Saint Mary's Medical Group | Byron Center, MI | $105K |
| Mercy Health Partners | Ludington, MI | $12K |
| Mercy Health Partners | Muskegon, MI | $7K |
| Mercy Health Partners | Shelby, MI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.