Medicaid Provider Spending

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

MERCY CLINIC EAST COMMUNITIES

NPI: 1720635329 · SAINT LOUIS, MO 63128 · Family Medicine Physician · NPI assigned 08/20/2019

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

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

$1.58M
Total Medicaid Paid
26,180
Total Claims
23,617
Beneficiaries
21
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY CLINIC EAST COMMUNITIES
NPI Enumeration Date08/20/2019

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 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
MERCY CLINIC ADULT CRITICAL CARE, LLC SAINT LOUIS MO $747K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,594 $91K
2021 4,357 $171K
2022 5,595 $376K
2023 7,297 $557K
2024 5,337 $382K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,466 9,095 $752K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,988 9,561 $705K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 848 668 $56K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,017 1,759 $29K
99308 Subsequent nursing facility care, per day, straightforward 1,654 1,423 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 79 76 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 219 190 $3K
99215 Prolong outpt/office vis 20 20 $2K
83036 Hemoglobin; glycosylated (A1C) 532 476 $2K
99310 Prolong nursin fac eval 15m 35 34 $909.39
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $833.50
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 13 $703.31
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $575.27
99318 13 12 $314.85
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) 65 64 $207.63
81025 17 13 $140.15
99441 13 12 $42.77
G0008 Administration of influenza virus vaccine 84 84 $0.00
36416 42 42 $0.00
90686 12 12 $0.00
90662 39 39 $0.00