Mersch, John

Mersch, John was paid $6K by Medicaid between Jan 2018 and Nov 2021, across 11 billing codes. Its largest line is 96151, — 29% of everything it billed.

33Billing provider infoMERSCH, JOHN
LADERA RANCH, CA 92694

33aNPI1588769558assigned 09/14/2006

33bProvider typePediatrics Physician

28Total paid$6K

24GClaims1,016

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#877 of 1,490

Median peer was paid$15K

This provider vs. median0.4×

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	345	$3K
2019	448	$2K
2020	160	$704.24
2021	63	$260.18

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96151		29%	76	76	$2K
90686		26%	164	164	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	472	456	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	17%	18	18	$1K
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	5.1%	101	96	$301.71
92551		3.6%	16	16	$210.56
96156		1.2%	26	26	$73.00
G9920	Screening performed and negative	<1%	12	12	$29.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	72	72	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	46	31	$0.00
99173		0%	13	13	$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.