Physician
Mercy Specialty Services
Mercy Specialty Services was paid $5.27M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 26% of everything it billed.
33Billing provider infoMERCY SPECIALTY SERVICES
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1629010384assigned 06/10/2006
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$5.27M
24GClaims112,839
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neuromusculoskeletal Medicine & OMM Physician providers in Michigan
Rank by total paid#3 of 14
Median peer was paid$1.22M
This provider vs. median4.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 15,004 | $642K | |
| 2019 | 14,502 | $635K | |
| 2020 | 14,492 | $671K | |
| 2021 | 17,471 | $880K | |
| 2022 | 17,214 | $819K | |
| 2023 | 17,860 | $849K | |
| 2024incomplete | 16,296 | $774K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 36,391 | 11,026 | $1.34M |
| 99223 | Prolong inpt eval add15 m | 20% | 10,645 | 9,993 | $1.03M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 13,027 | 5,569 | $700K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.8% | 4,012 | 1,720 | $461K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.3% | 6,855 | 6,498 | $385K |
| 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 | 4.6% | 4,855 | 4,158 | $245K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 7,193 | 5,955 | $245K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 3,496 | 3,378 | $128K |
| 98927 | 2.2% | 4,493 | 3,997 | $116K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 1,590 | 1,534 | $108K |
| 99220 | 2.0% | 1,200 | 1,177 | $106K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 1,406 | 1,405 | $106K |
27 more codes
| 98926 | 1.7% | 4,290 | $88K | |
| 98928 | 1.2% | 1,935 | $63K | |
| 99217 | <1% | 1,050 | $36K | |
| 99460 | <1% | 490 | $25K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,831 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 662 | $16K |
| 54150 | <1% | 263 | $15K | |
| 99205 | Prolong outpt/office vis | <1% | 94 | $8K |
| 98925 | <1% | 469 | $6K | |
| 98929 | <1% | 170 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $4K |
| 99254 | <1% | 38 | $3K | |
| 99462 | <1% | 104 | $2K | |
| 99225 | <1% | 109 | $1K | |
| 36620 | <1% | 57 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $777.66 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 73 | $571.29 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $544.98 |
| 76937 | <1% | 101 | $376.62 | |
| 93016 | <1% | 26 | $313.11 | |
| 93018 | <1% | 26 | $208.75 | |
| 3075F | 0% | 243 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 70 | $0.00 |
| 3074F | 0% | 1,599 | $0.00 | |
| 3079F | 0% | 402 | $0.00 | |
| 3078F | 0% | 1,472 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 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 officialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent organizationMERCY HEALTH PARTNERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.