Clinic
Mercy Health - Defiance Hospital LLC
Mercy Health - Defiance Hospital LLC was paid $303K by Medicaid between Jan 2020 and Feb 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoMERCY HEALTH - DEFIANCE HOSPITAL LLC
ADA, OH 45810
ADA, OH 45810
33aNPI1609420603assigned 07/29/2019
33bProvider typeRural Health Clinic/Center
28Total paid$303K
24GClaims25,283
24DCodes billed18
24AFirst – last monthJan 2020 – Feb 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Ohio
Rank by total paid#19 of 58
Median peer was paid$70K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 2,632 | $54K | |
| 2021 | 2,688 | $46K | |
| 2022 | 6,721 | $70K | |
| 2023 | 11,556 | $107K | |
| 2024incomplete | 1,686 | $26K |
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 | 42% | 3,861 | 2,925 | $128K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 4,745 | 2,938 | $97K |
| 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% | 3,718 | 2,647 | $75K |
| 36415 | Collection of venous blood by venipuncture | <1% | 783 | 661 | $1K |
| 90674 | <1% | 46 | 42 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | 13 | $133.40 |
| 1036F | 0% | 1,733 | 1,239 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | 26 | $0.00 |
| 3017F | 0% | 229 | 182 | $0.00 | |
| 3074F | 0% | 112 | 82 | $0.00 | |
| 3079F | 0% | 26 | 13 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 24 | 12 | $0.00 |
6 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 210 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,723 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,250 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,980 | $0.00 |
| 4004F | 0% | 702 | $0.00 | |
| 3078F | 0% | 100 | $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 officialSELHORST, SONYA (ADMINISTRATOR)