NP / PA
Mercy Health Physicians Youngstown Specialty Care LLC
Mercy Health Physicians Youngstown Specialty Care LLC was paid $11.81M by Medicaid between Jan 2022 and Dec 2024, across 188 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
33aNPI1649892225assigned 05/18/2020
33bProvider typeNurse Practitioner
28Total paid$11.81M
24GClaims910,044
24DCodes billed188
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#2 of 168
Median peer was paid$9K
This provider vs. median1,337×
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 | |
|---|---|---|---|
| 2022 | 296,617 | $3.45M | |
| 2023 | 325,474 | $4.11M | |
| 2024incomplete | 287,953 | $4.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 65,370 | 57,652 | $2.18M |
| 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 | 17% | 44,945 | 39,148 | $2.00M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.0% | 37,864 | 15,317 | $823K |
| 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 | 5.0% | 9,264 | 8,748 | $593K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.9% | 74,846 | 64,101 | $463K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 9,270 | 8,669 | $404K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 12,951 | 6,035 | $348K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.5% | 5,120 | 1,823 | $290K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 6,298 | 5,800 | $276K |
| 76818 | 2.1% | 8,442 | 3,805 | $249K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 7,293 | 6,636 | $236K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 6,431 | 6,116 | $233K |
176 more codes
| H1000 | Prenatal care, at-risk assessment | 1.8% | 2,533 | $213K |
| 76820 | 1.8% | 10,872 | $211K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 6,093 | $197K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 3,284 | $194K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.6% | 3,394 | $194K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 2,787 | $174K |
| 76821 | 1.4% | 6,492 | $162K | |
| 20610 | 1.3% | 4,231 | $158K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 2,544 | $148K |
| 93000 | 1.1% | 13,705 | $134K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,729 | $128K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.0% | 5,401 | $123K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 4,541 | $115K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,420 | $88K |
| 99205 | Prolong outpt/office vis | <1% | 1,244 | $84K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 3,741 | $70K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,271 | $65K |
| 99221 | <1% | 1,912 | $63K | |
| 95886 | <1% | 1,621 | $61K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,808 | $60K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 501 | $57K |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | <1% | 159 | $47K |
| 95251 | <1% | 2,207 | $43K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,461 | $42K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,120 | $41K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 222 | $34K |
| 11721 | <1% | 2,432 | $34K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,836 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,108 | $31K |
| 77427 | <1% | 346 | $31K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 464 | $30K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,599 | $29K |
| 93295 | <1% | 1,103 | $28K | |
| 77014 | <1% | 945 | $24K | |
| 87428 | <1% | 811 | $23K | |
| 99243 | <1% | 449 | $22K | |
| 95811 | <1% | 324 | $21K | |
| 93296 | <1% | 2,314 | $21K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,143 | $20K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,120 | $20K |
| 20611 | <1% | 372 | $19K | |
| 11056 | <1% | 866 | $19K | |
| 64483 | <1% | 403 | $18K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 285 | $17K |
| 99219 | <1% | 357 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,292 | $16K |
| 93016 | <1% | 1,094 | $15K | |
| 59514 | <1% | 65 | $15K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 597 | $14K |
| 93298 | <1% | 1,030 | $14K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 1,227 | $14K |
| 95913 | <1% | 70 | $13K | |
| 99254 | <1% | 178 | $12K | |
| 93971 | <1% | 930 | $12K | |
| 98940 | <1% | 922 | $12K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,591 | $11K |
| 99078 | <1% | 339 | $10K | |
| 93294 | <1% | 738 | $8K | |
| 93018 | <1% | 1,071 | $8K | |
| 95909 | <1% | 121 | $8K | |
| 31575 | <1% | 136 | $8K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 82 | $7K |
| 69210 | <1% | 368 | $7K | |
| 99460 | <1% | 106 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 87 | $6K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 788 | $6K |
| 49905 | <1% | 19 | $5K | |
| 99255 | <1% | 59 | $5K | |
| 73110 | <1% | 339 | $5K | |
| 73130 | <1% | 341 | $5K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 26 | $5K |
| 95816 | <1% | 197 | $5K | |
| 95910 | <1% | 53 | $5K | |
| 99245 | <1% | 51 | $4K | |
| 93922 | <1% | 479 | $4K | |
| 81002 | <1% | 2,676 | $4K | |
| 59025 | Fetal non-stress test | <1% | 173 | $4K |
| 76801 | <1% | 132 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 80 | $3K |
| 93248 | <1% | 215 | $3K | |
| 93297 | <1% | 349 | $3K | |
| 70496 | <1% | 85 | $3K | |
| 77301 | <1% | 15 | $3K | |
| 70498 | <1% | 85 | $3K | |
| 20550 | <1% | 126 | $3K | |
| 93880 | <1% | 174 | $3K | |
| 93970 | <1% | 113 | $2K | |
| 81025 | <1% | 392 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 187 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 319 | $2K |
| 94060 | <1% | 223 | $2K | |
| 95819 | <1% | 31 | $2K | |
| 64484 | <1% | 46 | $2K | |
| 76813 | <1% | 44 | $2K | |
| 99218 | <1% | 58 | $2K | |
| 97161 | <1% | 34 | $2K | |
| 41115 | <1% | 14 | $2K | |
| 93227 | <1% | 59 | $1K | |
| 99253 | <1% | 30 | $1K | |
| 29580 | <1% | 42 | $1K | |
| 20526 | <1% | 41 | $1K | |
| 49329 | <1% | 16 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 24 | $1K |
| 93458 | <1% | 14 | $1K | |
| 87634 | <1% | 30 | $1K | |
| 99252 | <1% | 26 | $968.40 | |
| 77338 | <1% | 15 | $947.16 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 85 | $939.98 |
| 0004A | <1% | 14 | $937.98 | |
| 94729 | <1% | 208 | $848.47 | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 16 | $843.88 |
| 0042T | <1% | 64 | $764.96 | |
| 73030 | <1% | 63 | $751.15 | |
| 90837 | Psychotherapy session, about an hour | <1% | 13 | $739.12 |
| 64493 | <1% | 14 | $716.87 | |
| 95800 | <1% | 15 | $697.04 | |
| 77012 | <1% | 25 | $695.70 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $680.60 |
| 99220 | <1% | 13 | $644.39 | |
| 94726 | <1% | 158 | $607.97 | |
| 99459 | <1% | 47 | $596.40 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 24 | $574.91 |
| 64494 | <1% | 24 | $545.20 | |
| 93923 | <1% | 49 | $523.14 | |
| 86756 | <1% | 93 | $517.05 | |
| 99242 | <1% | 13 | $483.60 | |
| 77300 | <1% | 20 | $475.42 | |
| 99423 | <1% | 16 | $470.14 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 71 | $461.00 |
| 83037 | <1% | 98 | $460.64 | |
| 93246 | <1% | 50 | $347.04 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 37 | $316.91 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 15 | $296.44 |
| 99441 | <1% | 13 | $283.36 | |
| 93280 | <1% | 19 | $268.17 | |
| 93308 | <1% | 29 | $251.61 | |
| 95806 | <1% | 28 | $249.48 | |
| 93325 | <1% | 114 | $220.52 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 51 | $182.43 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $151.97 |
| 95874 | <1% | 14 | $144.65 | |
| 94010 | <1% | 42 | $137.61 | |
| 99442 | <1% | 14 | $94.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $77.66 |
| 99421 | <1% | 12 | $61.75 | |
| 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% | 464 | $26.88 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $6.34 |
| 91300 | <1% | 56 | $0.51 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 124,266 | $0.10 |
| 1123F | <1% | 3,704 | $0.03 | |
| 1036F | 0% | 86,370 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 6,735 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 10,005 | $0.00 |
| 3079F | 0% | 994 | $0.00 | |
| 3017F | 0% | 40,951 | $0.00 | |
| 3074F | 0% | 7,177 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 6,425 | $0.00 |
| 99024 | 0% | 1,873 | $0.00 | |
| 3044F | 0% | 698 | $0.00 | |
| 3052F | 0% | 213 | $0.00 | |
| 3075F | 0% | 268 | $0.00 | |
| 3080F | 0% | 27 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 77,745 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 70,050 | $0.00 |
| 4004F | 0% | 22,047 | $0.00 | |
| 3078F | 0% | 8,352 | $0.00 | |
| 3046F | 0% | 1,946 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,216 | $0.00 |
| 3023F | 0% | 531 | $0.00 | |
| 1090F | 0% | 1,280 | $0.00 | |
| 3077F | 0% | 1,233 | $0.00 | |
| 2022F | 0% | 5,916 | $0.00 | |
| 3051F | 0% | 429 | $0.00 | |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 71 | $0.00 |
| 4040F | 0% | 289 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 126 | $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 officialDACRE, OLIVIA (CFO, MEDICAL GROUP)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Lorain, LLC | Lorain, OH | $12.45M |
| Mercy Health Physicians Lorain Specialty Care LLC | Lorain, OH | $4.76M |
| Mercy Medical Partners Northern Region LLC | Defiance, OH | $2.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.