Physician
Mercy Health Physicians-North LLC
Mercy Health Physicians-North LLC was paid $42.09M by Medicaid between Jan 2018 and Dec 2024, across 288 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS-NORTH LLC
TOLEDO, OH 43604
TOLEDO, OH 43604
33aNPI1609000769assigned 05/05/2009
33bProvider typeAnesthesiology Physician
28Total paid$42.09M
24GClaims2,756,411
24DCodes billed288
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Ohio
Rank by total paid#2 of 79
Median peer was paid$29K
This provider vs. median1,471×
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 | 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 | |
| 2024incomplete | 123,453 | $1.96M |
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 | 28% | 235,008 | 218,271 | $11.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 294,324 | 269,052 | $10.54M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 163,224 | 72,165 | $3.21M |
| 99223 | Prolong inpt eval add15 m | 3.1% | 22,831 | 21,307 | $1.32M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 40,813 | 18,979 | $1.14M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.3% | 17,755 | 6,563 | $948K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 42,652 | 19,431 | $640K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 12,034 | 11,903 | $639K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 19,859 | 18,256 | $610K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 12,589 | 12,177 | $596K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 8,785 | 8,047 | $561K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 11,934 | 11,480 | $560K |
276 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 7,173 | $514K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 11,613 | $440K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 5,972 | $366K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 55,736 | $347K |
| 99254 | <1% | 5,116 | $340K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 4,475 | $296K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 3,371 | $292K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 3,092 | $280K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,073 | $254K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 6,964 | $242K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 3,640 | $230K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 6,768 | $223K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,663 | $198K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,938 | $188K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 4,777 | $180K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 7,341 | $177K |
| 99460 | <1% | 2,410 | $176K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,732 | $164K |
| 11721 | <1% | 10,696 | $161K | |
| 76820 | <1% | 7,440 | $143K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,528 | $142K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 10,047 | $136K |
| 76818 | <1% | 3,075 | $134K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,004 | $126K |
| 95720 | <1% | 1,056 | $125K | |
| 99422 | <1% | 5,703 | $120K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,357 | $119K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,259 | $111K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 180 | $109K |
| 76821 | <1% | 4,093 | $104K | |
| 17110 | <1% | 2,320 | $101K | |
| 99245 | <1% | 1,160 | $101K | |
| 76825 | <1% | 1,422 | $93K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 1,619 | $86K |
| 99243 | <1% | 2,061 | $78K | |
| 20610 | <1% | 1,835 | $74K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,238 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,766 | $70K |
| 90686 | <1% | 6,500 | $62K | |
| 76813 | <1% | 1,431 | $58K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 682 | $58K |
| 93970 | <1% | 2,705 | $58K | |
| 95951 | <1% | 428 | $57K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,020 | $57K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 374 | $52K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 802 | $52K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,650 | $52K |
| 95816 | <1% | 1,604 | $51K | |
| 90674 | <1% | 2,009 | $49K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,676 | $49K |
| 99205 | Prolong outpt/office vis | <1% | 560 | $49K |
| 92587 | <1% | 2,518 | $48K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,185 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,201 | $47K |
| 59025 | Fetal non-stress test | <1% | 1,570 | $45K |
| 95811 | <1% | 742 | $45K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,251 | $43K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 157 | $43K |
| 76801 | <1% | 1,477 | $42K | |
| 73564 | <1% | 2,005 | $40K | |
| 99253 | <1% | 819 | $39K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,338 | $39K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,844 | $38K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 3,239 | $38K |
| 76827 | <1% | 1,518 | $35K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 417 | $35K |
| 99242 | <1% | 1,422 | $33K | |
| 99423 | <1% | 1,003 | $33K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 484 | $31K |
| 99442 | <1% | 1,982 | $29K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 860 | $28K |
| 99220 | <1% | 519 | $28K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 547 | $26K |
| 73630 | <1% | 1,532 | $26K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,580 | $26K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 43 | $25K |
| 81025 | <1% | 3,871 | $24K | |
| 0001A | <1% | 598 | $23K | |
| 90670 | <1% | 3,968 | $22K | |
| 95886 | <1% | 867 | $22K | |
| 0002A | <1% | 528 | $20K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,476 | $19K |
| 93971 | <1% | 1,309 | $19K | |
| 90698 | <1% | 3,095 | $18K | |
| 93320 | <1% | 1,042 | $18K | |
| 64483 | <1% | 510 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,347 | $17K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 118 | $17K |
| 99255 | <1% | 181 | $16K | |
| 93304 | <1% | 430 | $16K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,264 | $16K |
| 93325 | <1% | 3,535 | $15K | |
| 73610 | <1% | 855 | $15K | |
| 99462 | <1% | 456 | $14K | |
| 90688 | <1% | 1,334 | $14K | |
| 90837 | Psychotherapy session, about an hour | <1% | 236 | $14K |
| 93000 | <1% | 941 | $12K | |
| 20611 | <1% | 198 | $11K | |
| 73030 | <1% | 676 | $11K | |
| 99177 | <1% | 1,679 | $11K | |
| 11102 | <1% | 273 | $10K | |
| 99152 | <1% | 1,420 | $10K | |
| 83655 | <1% | 873 | $10K | |
| 43235 | <1% | 136 | $10K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 40 | $9K |
| 90715 | <1% | 348 | $8K | |
| 11100 | <1% | 198 | $8K | |
| 99221 | <1% | 346 | $8K | |
| 90680 | <1% | 1,680 | $8K | |
| 95819 | <1% | 258 | $7K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 312 | $7K |
| 59514 | <1% | 12 | $6K | |
| 90633 | <1% | 1,000 | $6K | |
| 62323 | <1% | 124 | $6K | |
| 77427 | <1% | 77 | $6K | |
| 90677 | <1% | 31 | $6K | |
| 96160 | <1% | 1,846 | $5K | |
| 85018 | <1% | 2,427 | $5K | |
| 92551 | <1% | 936 | $5K | |
| 90661 | <1% | 247 | $5K | |
| 90744 | <1% | 1,036 | $5K | |
| 94729 | <1% | 1,154 | $5K | |
| 94726 | <1% | 1,109 | $5K | |
| 99234 | <1% | 83 | $5K | |
| 93321 | <1% | 523 | $5K | |
| 11104 | <1% | 98 | $5K | |
| 99443 | <1% | 273 | $4K | |
| 95957 | <1% | 143 | $4K | |
| 95909 | <1% | 108 | $4K | |
| 73502 | <1% | 187 | $4K | |
| 99217 | <1% | 149 | $4K | |
| 64484 | <1% | 142 | $4K | |
| 94060 | <1% | 461 | $4K | |
| 94010 | <1% | 508 | $4K | |
| 95813 | <1% | 70 | $4K | |
| 64493 | <1% | 74 | $4K | |
| 99382 | <1% | 53 | $4K | |
| 99421 | <1% | 351 | $4K | |
| 99235 | <1% | 40 | $3K | |
| 69210 | <1% | 257 | $3K | |
| 59430 | <1% | 39 | $3K | |
| 99441 | <1% | 394 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 40 | $3K |
| 93880 | <1% | 176 | $3K | |
| 51798 | <1% | 452 | $3K | |
| 90746 | <1% | 54 | $3K | |
| 96112 | <1% | 46 | $3K | |
| 99219 | <1% | 50 | $3K | |
| 99463 | <1% | 27 | $3K | |
| 11900 | <1% | 81 | $2K | |
| 54150 | <1% | 51 | $2K | |
| 94777 | <1% | 80 | $2K | |
| 92567 | <1% | 202 | $2K | |
| 90685 | <1% | 434 | $2K | |
| 72100 | <1% | 125 | $2K | |
| 99157 | <1% | 12 | $2K | |
| 99307 | <1% | 270 | $2K | |
| 36556 | <1% | 63 | $2K | |
| 73110 | <1% | 119 | $2K | |
| 64635 | <1% | 34 | $2K | |
| 99173 | <1% | 995 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 327 | $2K |
| 99381 | <1% | 61 | $2K | |
| 54161 | <1% | 12 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 838 | $2K |
| 95910 | <1% | 31 | $2K | |
| 95718 | <1% | 38 | $2K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 203 | $2K |
| 95911 | <1% | 13 | $2K | |
| 90734 | <1% | 252 | $2K | |
| 64494 | <1% | 57 | $2K | |
| 64495 | <1% | 56 | $1K | |
| 90651 | <1% | 226 | $1K | |
| 92550 | <1% | 126 | $1K | |
| 0004A | <1% | 16 | $1K | |
| 73560 | <1% | 112 | $1K | |
| 94016 | <1% | 89 | $1K | |
| 90732 | <1% | 15 | $1K | |
| 77334 | <1% | 16 | $1K | |
| 99386 | <1% | 12 | $1K | |
| 99385 | <1% | 14 | $1K | |
| 99406 | <1% | 163 | $1K | |
| 90870 | <1% | 32 | $1K | |
| 64636 | <1% | 34 | $975.62 | |
| 94375 | <1% | 79 | $965.61 | |
| 94772 | <1% | 31 | $949.17 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 235 | $892.69 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 192 | $865.27 |
| 81003 | <1% | 547 | $861.28 | |
| 11056 | <1% | 40 | $848.07 | |
| 99225 | <1% | 42 | $812.88 | |
| 99201 | <1% | 26 | $782.03 | |
| 77300 | <1% | 13 | $779.25 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 65 | $772.87 |
| 52000 | <1% | 13 | $744.96 | |
| 99318 | <1% | 28 | $722.72 | |
| 90648 | <1% | 88 | $694.75 | |
| 73130 | <1% | 55 | $692.86 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 74 | $619.04 |
| 90710 | <1% | 115 | $590.75 | |
| 92552 | <1% | 54 | $585.95 | |
| 81002 | <1% | 263 | $532.57 | |
| 93227 | <1% | 27 | $523.94 | |
| 99252 | <1% | 15 | $504.53 | |
| 93016 | <1% | 38 | $501.86 | |
| 83037 | <1% | 87 | $427.37 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 14 | $412.16 |
| 90707 | <1% | 74 | $410.25 | |
| 90621 | <1% | 52 | $410.00 | |
| 80305 | <1% | 53 | $377.50 | |
| 94617 | <1% | 13 | $369.00 | |
| 92557 | <1% | 13 | $326.85 | |
| 90716 | <1% | 62 | $323.00 | |
| 90696 | <1% | 69 | $290.00 | |
| 73562 | <1% | 15 | $273.93 | |
| 86756 | <1% | 28 | $255.17 | |
| 11045 | <1% | 19 | $245.74 | |
| 90700 | <1% | 44 | $233.00 | |
| 93018 | <1% | 26 | $219.86 | |
| 96127 | <1% | 143 | $195.76 | |
| 82962 | <1% | 102 | $180.63 | |
| 90687 | <1% | 35 | $180.00 | |
| 99224 | <1% | 16 | $167.67 | |
| 94664 | <1% | 46 | $167.45 | |
| 93308 | <1% | 15 | $166.76 | |
| 36416 | <1% | 317 | $155.67 | |
| 76937 | <1% | 28 | $153.40 | |
| G0008 | Administration of influenza virus vaccine | <1% | 128 | $140.66 |
| 90620 | <1% | 17 | $140.00 | |
| 93922 | <1% | 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 | <1% | 15 | $106.97 |
| 99497 | <1% | 16 | $95.12 | |
| 90723 | <1% | 13 | $90.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 12 | $87.49 |
| 90461 | <1% | 275 | $78.75 | |
| 81000 | <1% | 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% | 1,173 | $38.04 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 403,361 | $18.08 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 248,757 | $17.76 |
| 1036F | <1% | 238,665 | $17.76 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 41 | $17.06 |
| G8482 | Influenza immunization administered or previously received | <1% | 42,810 | $15.00 |
| 91300 | <1% | 1,198 | $11.43 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $7.51 |
| 2022F | <1% | 20,434 | $2.87 | |
| 3017F | <1% | 128,534 | $2.76 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $1.58 |
| 1123F | <1% | 7,062 | $0.11 | |
| 3078F | <1% | 11,847 | $0.09 | |
| 3074F | <1% | 12,956 | $0.09 | |
| 3044F | <1% | 2,940 | $0.05 | |
| 3046F | <1% | 4,810 | $0.01 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 203,174 | $0.00 |
| 4004F | 0% | 101,440 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 2,754 | $0.00 |
| 3023F | 0% | 8,116 | $0.00 | |
| 4040F | 0% | 3,966 | $0.00 | |
| 3045F | 0% | 719 | $0.00 | |
| 0502F | 0% | 256 | $0.00 | |
| 1090F | 0% | 909 | $0.00 | |
| 3077F | 0% | 1,047 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 139 | $0.00 |
| 3051F | 0% | 85 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 48 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 40 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 30,411 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 24,996 | $0.00 |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 6,671 | $0.00 |
| 3075F | 0% | 1,394 | $0.00 | |
| 3014F | 0% | 2,137 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 3,176 | $0.00 |
| 3079F | 0% | 3,316 | $0.00 | |
| 1101F | 0% | 408 | $0.00 | |
| 3080F | 0% | 408 | $0.00 | |
| 1111F | 0% | 740 | $0.00 | |
| 96040 | 0% | 12 | $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 officialCLARK, TODD (DIRECTOR FINANCE, MEDICAL GROUP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.