Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY CLINIC PULMONOLOGY WASHINGTON LLC

NPI: 1699086926 · WASHINGTON, MO 63090 · Pulmonary Disease Physician · NPI assigned 07/01/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more

$384K
Total Medicaid Paid
8,039
Total Claims
7,754
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY CLINIC EAST COMMUNITIES
NPI Enumeration Date07/01/2010

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 505 $12K
2019 772 $19K
2020 839 $27K
2021 1,010 $37K
2022 1,297 $73K
2023 1,773 $112K
2024 1,843 $104K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,074 4,892 $255K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 684 672 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,611 1,565 $51K
99233 Prolong inpt eval add15 m 64 30 $3K
94726 196 194 $1K
94729 195 193 $1K
95806 13 13 $458.90
99406 59 53 $265.36
94618 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) 105 104 $168.05
94060 13 13 $94.09
94010 12 12 $77.62