Medicaid Provider Spending

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

MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA

NPI: 1730173550 · DARBY, PA 19023 · General Acute Care Hospital · NPI assigned 09/08/2005

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

Authorized official CUMMINGS, KIMBERLY controls 20+ related entities in our dataset. Read more

$27.84M
Total Medicaid Paid
227,862
Total Claims
192,246
Beneficiaries
214
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
Parent OrganizationMERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
NPI Enumeration Date09/08/2005

Related Entities

Other providers sharing the same authorized official: CUMMINGS, KIMBERLY

ProviderCityStateTotal Paid
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $9.75M
ST. FRANCIS HOSPITAL INC. WILMINGTON DE $1.94M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.55M
ST MARY MEDICAL CENTER BENSALEM PA $1.44M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $1.35M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $1.15M
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $776K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $676K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $664K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $413K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $403K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $346K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $343K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP DARBY PA $319K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $302K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP PHILADELPHIA PA $247K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA $210K
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LEVITTOWN PA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 133 $546.97
2019 476 $92K
2020 31,486 $2.62M
2021 78,632 $9.88M
2022 24,257 $5.74M
2023 48,164 $5.64M
2024 44,714 $3.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 25,327 24,411 $6.85M
99284 Emergency department visit for the evaluation and management, high severity 17,543 16,741 $5.41M
G0378 Hospital observation service, per hour 2,206 1,775 $3.91M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,949 6,538 $2.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,743 8,469 $2.17M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 985 928 $1.52M
45380 Colonoscopy, flexible; with biopsy, single or multiple 936 879 $1.48M
T1015 Clinic visit/encounter, all-inclusive 7,539 2,110 $828K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 223 213 $278K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,273 2,144 $223K
77067 Screening mammography, bilateral, including computer-aided detection 1,115 1,105 $222K
99281 Emergency department visit for the evaluation and management, self-limited or minor 798 769 $166K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 675 363 $147K
73564 2,831 1,987 $141K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 640 357 $121K
74177 Computed tomography, abdomen and pelvis; with contrast material 606 593 $108K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,980 820 $100K
90792 Psychiatric diagnostic evaluation with medical services 343 332 $84K
76830 Ultrasound, transvaginal 647 641 $78K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 469 458 $77K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,964 11,351 $72K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 749 424 $71K
77066 Tomosynthesis, mammo 279 273 $59K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 745 740 $56K
92557 759 739 $51K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 88 85 $49K
94729 694 681 $48K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,614 1,532 $47K
77063 Screening digital breast tomosynthesis, bilateral 1,094 1,084 $46K
93975 310 298 $45K
80048 Basic metabolic panel (calcium, ionized) 6,618 5,471 $44K
76642 421 329 $42K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,442 5,022 $39K
80053 Comprehensive metabolic panel 4,188 3,288 $38K
94727 687 674 $35K
96375 Therapeutic injection; each additional sequential IV push 1,908 1,496 $33K
85027 2,073 1,941 $32K
70551 Magnetic resonance imaging, brain; without contrast material 66 64 $29K
77065 Tomosynthesis, mammo 151 146 $26K
76770 229 225 $23K
74183 28 27 $22K
71260 Computed tomography, thorax, diagnostic; with contrast material 154 152 $21K
93970 136 132 $21K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 915 327 $20K
92567 773 756 $20K
93017 199 193 $19K
71046 Radiologic examination, chest; 2 views 559 550 $19K
73030 543 470 $18K
71250 157 157 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,059 1,026 $17K
94375 252 247 $16K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 110 104 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 871 816 $15K
97162 277 267 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 38 36 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 113 112 $14K
71275 Computed tomographic angiography, chest, with contrast material 154 149 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,838 3,511 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 40 39 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 219 215 $13K
73610 390 352 $12K
73502 299 267 $12K
36415 Collection of venous blood by venipuncture 11,790 9,228 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,529 1,409 $11K
86900 701 675 $11K
93325 54 54 $10K
93971 112 108 $10K
80061 Lipid panel 781 764 $10K
84443 Thyroid stimulating hormone (TSH) 527 500 $9K
85610 1,577 1,300 $8K
77062 102 102 $8K
94060 226 222 $8K
97597 130 103 $8K
70450 Computed tomography, head or brain; without contrast material 501 477 $8K
96417 54 37 $7K
73630 379 329 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 664 538 $7K
80050 General health panel 67 67 $7K
73130 345 289 $6K
72100 119 118 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 87 83 $6K
72110 104 104 $5K
87081 749 738 $5K
71045 Radiologic examination, chest; single view 2,615 2,442 $5K
83735 3,609 2,719 $5K
C1769 Guide wire 31 27 $5K
83036 Hemoglobin; glycosylated (A1C) 764 735 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 904 865 $5K
93350 28 28 $4K
80076 1,649 1,514 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101 70 $4K
82805 414 389 $4K
97161 90 90 $4K
76981 67 64 $4K
73110 174 147 $4K
93320 41 41 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 93 90 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 529 431 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 586 560 $3K
73562 69 49 $3K
80177 135 123 $3K
96415 35 25 $3K
81001 732 708 $3K
71271 12 12 $3K
83880 438 401 $3K
36600 414 388 $3K
0202U Oncology (prostate), multianalyte, gene expression profiling 44 42 $3K
96361 Intravenous infusion, hydration; each additional hour 460 389 $3K
84484 1,586 1,364 $2K
80164 56 52 $2K
95806 13 13 $2K
87086 Culture, bacterial; quantitative colony count, urine 546 517 $2K
83690 1,677 1,545 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 50 45 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 140 130 $2K
84702 408 378 $2K
0011A 41 40 $2K
85730 826 766 $2K
76536 14 14 $2K
93923 12 12 $1K
0012A 23 23 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 292 284 $1K
86885 198 181 $1K
97163 16 16 $1K
96367 29 24 $1K
82728 89 87 $1K
J2785 Injection, regadenoson, 0.1 mg 12 12 $998.16
82550 817 767 $983.22
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 649 623 $980.47
82248 565 517 $961.23
84466 48 48 $910.83
J2704 Injection, propofol, 10 mg 3,495 3,140 $901.06
93041 916 866 $864.96
84100 1,074 712 $795.46
88342 187 182 $776.36
82607 47 43 $762.38
36591 33 29 $725.01
86901 232 210 $643.93
86140 103 88 $620.76
82043 80 79 $619.55
83540 64 63 $617.98
85652 94 81 $611.97
87077 117 114 $598.38
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 53 51 $566.78
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 133 132 $546.97
82330 391 366 $535.42
90715 40 40 $522.23
83605 423 391 $516.22
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,151 3,378 $512.30
97150 Therapeutic procedure(s), group (2 or more individuals) 223 78 $501.07
81025 1,614 1,497 $495.39
76857 12 12 $477.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,051 1,578 $473.42
84153 27 27 $471.79
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $426.58
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 220 96 $399.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 417 315 $362.61
J1170 Injection, hydromorphone, up to 4 mg 511 334 $349.24
97116 21 14 $316.32
84439 50 47 $312.72
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 58 55 $310.96
81003 194 192 $300.26
82077 229 221 $233.10
J3010 Injection, fentanyl citrate, 0.1 mg 2,617 1,961 $220.09
J0690 Injection, cefazolin sodium, 500 mg 332 278 $217.05
87186 24 24 $213.60
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $212.12
73590 15 12 $204.29
85014 72 72 $192.85
J2270 Injection, morphine sulfate, up to 10 mg 889 711 $188.56
86850 26 26 $168.51
82746 12 12 $164.02
76801 13 13 $153.56
J1644 Injection, heparin sodium, per 1000 units 928 592 $153.29
82947 12 12 $126.76
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,463 1,152 $122.13
J1885 Injection, ketorolac tromethamine, per 15 mg 2,089 1,890 $98.93
80051 37 36 $90.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 91 89 $81.00
94760 12 12 $65.73
85379 51 51 $57.47
J2250 Injection, midazolam hydrochloride, per 1 mg 1,726 1,600 $53.17
88304 80 78 $52.67
J7050 Infusion, normal saline solution, 250 cc 1,506 864 $45.63
J0696 Injection, ceftriaxone sodium, per 250 mg 586 523 $42.26
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 356 227 $30.09
A9270 Non-covered item or service 5,247 2,759 $14.19
84295 86 81 $13.06
J7030 Infusion, normal saline solution , 1000 cc 4,318 3,780 $12.90
84132 91 86 $12.74
82435 86 81 $12.74
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,253 1,015 $10.46
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 157 141 $5.67
J2060 Injection, lorazepam, 2 mg 274 223 $2.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 116 105 $0.80
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,010 895 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 417 400 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 273 227 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 712 377 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,671 1,448 $0.00
J1756 Injection, iron sucrose, 1 mg 565 286 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 274 267 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 27 25 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 15 12 $0.00
J2251 Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg 25 25 $0.00
87400 14 14 $0.00
C9113 Injection, pantoprazole sodium, per vial 23 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 64 46 $0.00
J1171 Injection, hydromorphone, 0.1 mg 23 15 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 373 352 $0.00
J1630 Injection, haloperidol, up to 5 mg 159 140 $0.00
96376 41 38 $0.00
J1815 Injection, insulin, per 5 units 484 187 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 73 66 $0.00