Mercy Clinic Pulmonology Washington LLC

Mercy Clinic Pulmonology Washington LLC was paid $384K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoMERCY CLINIC PULMONOLOGY WASHINGTON LLC
WASHINGTON, MO 63090

33aNPI1699086926assigned 07/01/2010

33bProvider typePulmonary Disease Physician

28Total paid$384K

24GClaims8,039

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Missouri

Rank by total paid#4 of 35

Median peer was paid$20K

This provider vs. median19×

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 DUNGER, KERRY 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	505	$12K
2019	772	$19K
2020	839	$27K
2021	1,010	$37K
2022	1,297	$73K
2023	1,773	$112K
2024incomplete	1,843	$104K

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	66%	5,074	4,892	$255K
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	19%	684	672	$71K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	1,611	1,565	$51K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	64	30	$3K
94726		<1%	196	194	$1K
94729		<1%	195	193	$1K
95806		<1%	13	13	$458.90
99406		<1%	59	53	$265.36
94618		<1%	13	13	$217.32
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%	105	104	$168.05
94060		<1%	13	13	$94.09
94010		<1%	12	12	$77.62

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 officialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)

Parent organizationMERCY CLINIC EAST COMMUNITIES

Same official

Other billing entities under DUNGER, KERRY

Full network →

Provider	Location	Paid
Mercy Clinic East Communities	Saint Louis, MO	$22.20M
ST Anthonys Physician Organization Hospitalist Services, L.C.	Saint Louis, MO	$4.15M
Mercy Clinic Adult Hospitalists- Jefferson, LLC	Festus, MO	$3.20M
Mercy Clinic Heart and Vascular, LLC	Saint Louis, MO	$3.11M
Mercy Clinic East Communities	Saint Louis, MO	$2.96M
Mercy Clinic East Communities	Saint Louis, MO	$2.82M
Mercy Clinic Maternal Fetal Medicine LLC	Saint Louis, MO	$2.68M
Mercy Clinic Adult Hospitalists - ST. Louis, LLC	Saint Louis, MO	$2.49M
Mercy Clinic Child and Adolescent Psychiatry, LLC	Saint Louis, MO	$2.08M
Mercy Clinic East Communities	Saint Louis, MO	$1.58M
Mercy Clinic Adult Psychiatry, LLC	Festus, MO	$1.29M
Mercy Clinic Oncology, LLC	Washington, MO	$1.29M
Mercy Clinic Kids Gi, LLC	Saint Louis, MO	$1.12M
Mercy East Support Services, LLC	Saint Louis, MO	$1.08M
Mercy Clinic Children's Heart Center, LLC	St Louis, MO	$1.00M
Mercy Clinic Children's Surgery, LLC	St. Louis, MO	$829K
Mercy Clinic Surgical Specialists, LLC	Washington, MO	$824K
Mercy Clinic East Communities	Sullivan, MO	$791K
Mercy Clinic Neurology, LLC	Saint Louis, MO	$784K
Mercy Womens Services LLC	Saint Louis, MO	$783K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.