Physician
Mercy Medical Partners Northern Region Specialty Care LLC
Mercy Medical Partners Northern Region Specialty Care LLC was paid $644K by Medicaid between Jan 2022 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoMERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
DEFIANCE, OH 43512
DEFIANCE, OH 43512
33aNPI1730701749assigned 05/13/2020
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$644K
24GClaims75,484
24DCodes billed49
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#7 of 31
Median peer was paid$60K
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 | |
|---|---|---|---|
| 2022 | 37,950 | $266K | |
| 2023 | 23,331 | $221K | |
| 2024incomplete | 14,203 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 11,417 | 9,346 | $258K |
| 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 | 35% | 7,920 | 6,771 | $222K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 8.4% | 8,401 | 6,840 | $54K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 601 | 442 | $35K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 375 | 346 | $18K |
| 95813 | 1.9% | 296 | 279 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 342 | 295 | $9K |
| 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 | 1.2% | 165 | 161 | $8K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 140 | 108 | $5K |
| 95251 | <1% | 440 | 366 | $5K | |
| 95912 | <1% | 35 | 25 | $2K | |
| 92015 | Determination of refractive state | <1% | 177 | 149 | $2K |
37 more codes
| 11721 | <1% | 254 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 50 | $1K |
| 95886 | <1% | 52 | $1K | |
| 93886 | <1% | 41 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 48 | $1K |
| 92250 | <1% | 216 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $930.24 |
| 99205 | Prolong outpt/office vis | <1% | 12 | $876.51 |
| 99310 | Prolong nursin fac eval 15m | <1% | 32 | $758.27 |
| 11720 | <1% | 244 | $653.20 | |
| 93892 | <1% | 25 | $533.14 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 32 | $495.98 |
| 87428 | <1% | 16 | $430.78 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $340.37 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $330.42 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | $277.06 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 20 | $238.68 |
| 97597 | <1% | 32 | $174.80 | |
| 1036F | 0% | 7,169 | $0.00 | |
| 1123F | 0% | 208 | $0.00 | |
| 3017F | 0% | 2,653 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 3074F | 0% | 485 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 237 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 60 | $0.00 |
| 3044F | 0% | 17 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12,945 | $0.00 |
| 4004F | 0% | 1,571 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 9,626 | $0.00 |
| 2022F | 0% | 764 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 7,030 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 273 | $0.00 |
| 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) | 0% | 148 | $0.00 |
| 3078F | 0% | 547 | $0.00 | |
| 3046F | 0% | 227 | $0.00 | |
| 3023F | 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 officialHAVLIN, CASSIE (MANAGER, PAYER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Youngstown, LLC | Youngstown, OH | $25.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.