Clinic
Mercy Medical Partners Northern Region LLC
Mercy Medical Partners Northern Region LLC was paid $2.68M by Medicaid between Jan 2018 and Nov 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoMERCY MEDICAL PARTNERS NORTHERN REGION LLC
DEFIANCE, OH 43512
DEFIANCE, OH 43512
33aNPI1669756532assigned 10/10/2011
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.68M
24GClaims250,887
24DCodes billed92
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Ohio
Rank by total paid#7 of 48
Median peer was paid$245K
This provider vs. median11×
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 | 54,262 | $711K | |
| 2019 | 56,873 | $798K | |
| 2020 | 48,361 | $398K | |
| 2021 | 58,300 | $463K | |
| 2022 | 15,737 | $117K | |
| 2023 | 10,253 | $105K | |
| 2024incomplete | 7,101 | $86K |
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 | 39% | 28,538 | 26,387 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 29,839 | 27,464 | $863K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.7% | 24,640 | 20,468 | $152K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 1,614 | 1,567 | $78K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 1,855 | 1,696 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 1,657 | 1,644 | $72K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 4,324 | 1,599 | $64K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 2,150 | 2,061 | $36K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.0% | 885 | 834 | $28K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 612 | 565 | $20K |
| V2020 | Frames, purchases | <1% | 1,878 | 1,784 | $18K |
| 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% | 554 | 538 | $17K |
80 more codes
| 95813 | <1% | 619 | $17K | |
| 90837 | Psychotherapy session, about an hour | <1% | 304 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,243 | $15K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,164 | $14K |
| 92015 | Determination of refractive state | <1% | 1,144 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 325 | $13K |
| 95957 | <1% | 474 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 848 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 176 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 258 | $8K |
| 95886 | <1% | 293 | $7K | |
| 92341 | <1% | 339 | $7K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 223 | $7K |
| 11721 | <1% | 784 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 342 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,271 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 58 | $5K |
| 99310 | Prolong nursin fac eval 15m | <1% | 152 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 363 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 381 | $4K |
| 90686 | <1% | 514 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 69 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 136 | $2K |
| 95912 | <1% | 24 | $2K | |
| 90648 | <1% | 657 | $2K | |
| 92250 | <1% | 226 | $2K | |
| 99245 | <1% | 25 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $2K |
| 90670 | <1% | 568 | $2K | |
| 99307 | <1% | 394 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $1K |
| 92558 | <1% | 99 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $1K |
| 95911 | <1% | 27 | $1K | |
| 90723 | <1% | 330 | $861.50 | |
| 93886 | <1% | 33 | $739.64 | |
| 64483 | <1% | 28 | $687.24 | |
| 11720 | <1% | 314 | $661.73 | |
| 93892 | <1% | 30 | $617.32 | |
| 93000 | <1% | 58 | $568.92 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $511.38 |
| 64493 | <1% | 13 | $498.48 | |
| 59899 | <1% | 36 | $482.50 | |
| 90680 | <1% | 191 | $470.00 | |
| 90633 | <1% | 131 | $419.58 | |
| 87807 | <1% | 31 | $398.26 | |
| 90715 | <1% | 12 | $349.88 | |
| 64495 | <1% | 13 | $297.84 | |
| 31231 | <1% | 12 | $294.01 | |
| 64494 | <1% | 13 | $287.76 | |
| 90685 | <1% | 66 | $265.75 | |
| 95251 | <1% | 19 | $241.08 | |
| 97597 | <1% | 48 | $218.80 | |
| 90710 | <1% | 59 | $180.00 | |
| 11056 | <1% | 15 | $132.23 | |
| 96160 | <1% | 50 | $113.55 | |
| 94060 | <1% | 12 | $85.03 | |
| 99173 | <1% | 40 | $66.82 | |
| 90461 | <1% | 228 | $42.00 | |
| 94729 | <1% | 12 | $28.49 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 44,206 | $0.01 |
| 3078F | <1% | 198 | $0.01 | |
| 3074F | <1% | 152 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 23,787 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 25,972 | $0.00 |
| 4004F | 0% | 6,810 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 3,568 | $0.00 |
| 3046F | 0% | 178 | $0.00 | |
| 2022F | 0% | 514 | $0.00 | |
| 1090F | 0% | 26 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 37 | $0.00 |
| 4040F | 0% | 91 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 1036F | 0% | 21,669 | $0.00 | |
| 3017F | 0% | 6,731 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,017 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 454 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 266 | $0.00 |
| 1123F | 0% | 91 | $0.00 | |
| 3014F | 0% | 14 | $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 Youngstown Specialty Care LLC | Youngstown, OH | $11.81M |
| Mercy Health Physicians Lorain Specialty Care LLC | Lorain, OH | $4.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.