Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › TOLEDO › MERCY HEALTH PHYSICIANS-NORTH LLC

MERCY HEALTH PHYSICIANS-NORTH LLC

NPI: 1609000769 · TOLEDO, OH 43604 · Anesthesiology Physician · NPI assigned 05/05/2009

$42.09M
Total Medicaid Paid
2,756,411
Total Claims
2,381,104
Beneficiaries
288
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLARK, TODD (DIRECTOR FINANCE, MEDICAL GROUP)
NPI Enumeration Date05/05/2009

Related Entities

Other providers sharing the same authorized official: CLARK, TODD

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH $13.04M
TLC & CARE LLC FAIRFIELD CT $59K
TEAM PHYSICAL THERAPY LLC KAILUA HI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 580,644 $9.19M
2019 567,676 $9.48M
2020 511,321 $7.96M
2021 576,360 $8.40M
2022 224,736 $2.72M
2023 172,221 $2.37M
2024 123,453 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 235,008 218,271 $11.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 294,324 269,052 $10.54M
99232 Subsequent hospital care, per day, moderate complexity 163,224 72,165 $3.21M
99223 Prolong inpt eval add15 m 22,831 21,307 $1.32M
99233 Prolong inpt eval add15 m 40,813 18,979 $1.14M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17,755 6,563 $948K
90460 Immunization administration through 18 years of age via any route, first or only component 42,652 19,431 $640K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,034 11,903 $639K
99239 Hospital discharge day management, more than 30 minutes 19,859 18,256 $610K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,589 12,177 $596K
99215 Prolong outpt/office vis 8,785 8,047 $561K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,934 11,480 $560K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,173 6,834 $514K
99222 Initial hospital care, per day, moderate complexity 11,613 10,800 $440K
90792 Psychiatric diagnostic evaluation with medical services 5,972 5,466 $366K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 55,736 45,655 $347K
99254 5,116 4,839 $340K
99244 Office or other outpatient consultation, moderate to high complexity 4,475 4,397 $296K
99479 Subsequent intensive care, per day, very low birth weight infant 3,371 791 $292K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,092 2,920 $280K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,073 5,037 $254K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,964 6,606 $242K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3,640 3,555 $230K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,768 5,622 $223K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,663 5,542 $198K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,938 5,269 $188K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,777 4,199 $180K
76819 Fetal biophysical profile; without non-stress testing 7,341 4,926 $177K
99460 2,410 2,314 $176K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,732 2,701 $164K
11721 10,696 10,294 $161K
76820 7,440 3,945 $143K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,528 2,483 $142K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,047 6,161 $136K
76818 3,075 1,581 $134K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,004 2,952 $126K
95720 1,056 475 $125K
99422 5,703 5,184 $120K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,357 1,318 $119K
99238 Hospital discharge day management, 30 minutes or less 4,259 3,965 $111K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 180 173 $109K
76821 4,093 2,069 $104K
17110 2,320 2,172 $101K
99245 1,160 1,133 $101K
76825 1,422 1,340 $93K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,619 1,537 $86K
99243 2,061 2,019 $78K
20610 1,835 1,640 $74K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,238 1,204 $72K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,766 4,605 $70K
90686 6,500 6,379 $62K
76813 1,431 1,396 $58K
99480 Subsequent intensive care, per day, low birth weight infant 682 202 $58K
93970 2,705 2,586 $58K
95951 428 160 $57K
76830 Ultrasound, transvaginal 1,020 1,002 $57K
45380 Colonoscopy, flexible; with biopsy, single or multiple 374 348 $52K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 802 792 $52K
83036 Hemoglobin; glycosylated (A1C) 8,650 8,190 $52K
95816 1,604 1,560 $51K
90674 2,009 1,860 $49K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,676 1,457 $49K
99205 Prolong outpt/office vis 560 523 $49K
92587 2,518 2,476 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,185 4,051 $48K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,201 6,932 $47K
59025 Fetal non-stress test 1,570 799 $45K
95811 742 713 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,251 2,836 $43K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 157 52 $43K
76801 1,477 1,433 $42K
73564 2,005 1,548 $40K
99253 819 791 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,338 1,775 $39K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,844 1,284 $38K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,239 1,933 $38K
76827 1,518 1,434 $35K
90791 Psychiatric diagnostic evaluation 417 392 $35K
99242 1,422 1,390 $33K
99423 1,003 890 $33K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 484 476 $31K
99442 1,982 1,932 $29K
90832 Psychotherapy, 30 minutes with patient 860 640 $28K
99220 519 500 $28K
90834 Psychotherapy, 45 minutes with patient 547 433 $26K
73630 1,532 1,283 $26K
99308 Subsequent nursing facility care, per day, straightforward 3,580 2,956 $26K
J0585 Injection, onabotulinumtoxina, 1 unit 43 24 $25K
81025 3,871 3,734 $24K
0001A 598 556 $23K
90670 3,968 3,895 $22K
95886 867 822 $22K
0002A 528 509 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,476 1,178 $19K
93971 1,309 1,245 $19K
90698 3,095 3,043 $18K
93320 1,042 986 $18K
64483 510 471 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,347 1,296 $17K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 118 112 $17K
99255 181 178 $16K
93304 430 382 $16K
J1040 Injection, methylprednisolone acetate, 80 mg 1,264 1,163 $16K
93325 3,535 3,250 $15K
73610 855 728 $15K
99462 456 352 $14K
90688 1,334 1,297 $14K
90837 Psychotherapy, 53 minutes with patient 236 169 $14K
93000 941 928 $12K
20611 198 194 $11K
73030 676 592 $11K
99177 1,679 1,651 $11K
11102 273 255 $10K
99152 1,420 1,202 $10K
83655 873 866 $10K
43235 136 127 $10K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 40 40 $9K
90715 348 337 $8K
11100 198 194 $8K
99221 346 338 $8K
90680 1,680 1,647 $8K
95819 258 247 $7K
90935 Hemodialysis procedure with single evaluation by a physician 312 216 $7K
59514 12 12 $6K
90633 1,000 984 $6K
62323 124 121 $6K
77427 77 38 $6K
90677 31 27 $6K
96160 1,846 1,770 $5K
85018 2,427 2,400 $5K
92551 936 913 $5K
90661 247 213 $5K
90744 1,036 1,011 $5K
94729 1,154 1,086 $5K
94726 1,109 1,044 $5K
99234 83 77 $5K
93321 523 472 $5K
11104 98 89 $5K
99443 273 266 $4K
95957 143 140 $4K
95909 108 105 $4K
73502 187 165 $4K
99217 149 143 $4K
64484 142 132 $4K
94060 461 434 $4K
94010 508 495 $4K
95813 70 67 $4K
64493 74 60 $4K
99382 53 51 $4K
99421 351 333 $4K
99235 40 39 $3K
69210 257 169 $3K
59430 39 38 $3K
99441 394 376 $3K
99236 Prolong inpt eval add15 m 40 40 $3K
93880 176 169 $3K
51798 452 424 $3K
90746 54 53 $3K
96112 46 45 $3K
99219 50 48 $3K
99463 27 27 $3K
11900 81 80 $2K
54150 51 48 $2K
94777 80 63 $2K
92567 202 193 $2K
90685 434 431 $2K
72100 125 120 $2K
99157 12 12 $2K
99307 270 248 $2K
36556 63 51 $2K
73110 119 94 $2K
64635 34 25 $2K
99173 995 982 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 327 314 $2K
99381 61 60 $2K
54161 12 12 $2K
36415 Collection of venous blood by venipuncture 838 705 $2K
95910 31 31 $2K
95718 38 26 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 203 202 $2K
95911 13 13 $2K
90734 252 241 $2K
64494 57 45 $2K
64495 56 44 $1K
90651 226 216 $1K
92550 126 125 $1K
0004A 16 16 $1K
73560 112 107 $1K
94016 89 87 $1K
90732 15 13 $1K
77334 16 14 $1K
99386 12 12 $1K
99385 14 14 $1K
99406 163 155 $1K
90870 32 12 $1K
64636 34 25 $975.62
94375 79 78 $965.61
94772 31 29 $949.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 235 228 $892.69
90472 Immunization administration, each additional vaccine (list separately) 192 116 $865.27
81003 547 532 $861.28
11056 40 40 $848.07
99225 42 34 $812.88
99201 26 26 $782.03
77300 13 12 $779.25
H1000 Prenatal care, at-risk assessment 65 63 $772.87
52000 13 13 $744.96
99318 28 28 $722.72
90648 88 87 $694.75
73130 55 42 $692.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 74 71 $619.04
90710 115 114 $590.75
92552 54 53 $585.95
81002 263 247 $532.57
93227 27 24 $523.94
99252 15 15 $504.53
93016 38 38 $501.86
83037 87 84 $427.37
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $412.16
90707 74 74 $410.25
90621 52 52 $410.00
80305 53 52 $377.50
94617 13 13 $369.00
92557 13 12 $326.85
90716 62 62 $323.00
90696 69 69 $290.00
73562 15 12 $273.93
86756 28 28 $255.17
11045 19 14 $245.74
90700 44 44 $233.00
93018 26 26 $219.86
96127 143 135 $195.76
82962 102 95 $180.63
90687 35 33 $180.00
99224 16 13 $167.67
94664 46 45 $167.45
93308 15 14 $166.76
36416 317 315 $155.67
76937 28 25 $153.40
G0008 Administration of influenza virus vaccine 128 113 $140.66
90620 17 16 $140.00
93922 12 12 $119.44
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 14 $106.97
99497 16 16 $95.12
90723 13 12 $90.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $87.49
90461 275 90 $78.75
81000 17 17 $54.72
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) 1,173 1,054 $38.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 403,361 367,731 $18.08
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 248,757 226,198 $17.76
1036F 238,665 216,066 $17.76
G0444 Annual depression screening, 5 to 15 minutes 41 40 $17.06
G8482 Influenza immunization administered or previously received 42,810 39,612 $15.00
91300 1,198 1,000 $11.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $7.51
2022F 20,434 19,187 $2.87
3017F 128,534 118,919 $2.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $1.58
1123F 7,062 6,451 $0.11
3078F 11,847 10,513 $0.09
3074F 12,956 11,405 $0.09
3044F 2,940 2,652 $0.05
3046F 4,810 4,407 $0.01
G8484 Influenza immunization was not administered, reason not given 203,174 186,143 $0.00
4004F 101,440 93,198 $0.00
G8598 Aspirin or another antiplatelet therapy used 2,754 2,515 $0.00
3023F 8,116 7,639 $0.00
4040F 3,966 3,634 $0.00
3045F 719 644 $0.00
0502F 256 137 $0.00
1090F 909 813 $0.00
3077F 1,047 939 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 139 130 $0.00
3051F 85 84 $0.00
G8421 Bmi not documented and no reason is given 48 48 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 40 34 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 30,411 27,893 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 24,996 21,662 $0.00
G8926 Spirometry test not performed or documented, reason not given 6,671 6,326 $0.00
3075F 1,394 1,245 $0.00
3014F 2,137 2,041 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 3,176 3,029 $0.00
3079F 3,316 2,969 $0.00
1101F 408 363 $0.00
3080F 408 350 $0.00
1111F 740 680 $0.00
96040 12 12 $0.00