Medicaid Provider Spending

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

MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC

NPI: 1730701749 · DEFIANCE, OH 43512 · Critical Care Medicine (Internal Medicine) Physician

$644K
Total Medicaid Paid
75,484
Total Claims
63,095
Beneficiaries
49
Codes Billed
2022-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 37,950 $266K
2023 23,331 $221K
2024 14,203 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 11,417 9,346 $258K
99214 7,920 6,771 $222K
93010 8,401 6,840 $54K
90837 601 442 $35K
99215 Prolong outpt/office vis 375 346 $18K
95813 296 279 $12K
99203 342 295 $9K
99204 165 161 $8K
90834 140 108 $5K
95251 440 366 $5K
95912 35 25 $2K
92015 177 149 $2K
11721 254 242 $2K
99392 50 50 $1K
95886 52 38 $1K
93886 41 41 $1K
99391 48 44 $1K
92250 216 179 $1K
99395 30 27 $930.24
99205 Prolong outpt/office vis 12 12 $876.51
99310 Prolong nursin fac eval 15m 32 31 $758.27
11720 244 229 $653.20
93892 25 25 $533.14
99232 32 12 $495.98
87428 16 12 $430.78
99212 27 27 $340.37
99238 14 12 $330.42
92004 15 15 $277.06
99231 20 12 $238.68
97597 32 12 $174.80
1036F 7,169 5,851 $0.00
1123F 208 200 $0.00
3017F 2,653 2,449 $0.00
3075F 26 26 $0.00
3074F 485 446 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 237 218 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 60 51 $0.00
3044F 17 14 $0.00
3079F 15 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12,945 10,852 $0.00
4004F 1,571 1,393 $0.00
G8484 Influenza immunization was not administered, reason not given 9,626 7,662 $0.00
2022F 764 659 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 7,030 6,038 $0.00
G8482 Influenza immunization administered or previously received 273 235 $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) 148 137 $0.00
3078F 547 501 $0.00
3046F 227 187 $0.00
3023F 14 13 $0.00