Medicaid Provider Spending

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

MERCY HEALTH-ALLEN HOSPITAL LLC

NPI: 1780818963 · WELLINGTON, OH 44090 · Rural Health Clinic/Center · NPI assigned 05/04/2009

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

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

$731K
Total Medicaid Paid
54,943
Total Claims
40,640
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (VP REIMBURSEMENT)
Parent OrganizationMERCY HEALTH LORAIN LLC
NPI Enumeration Date05/04/2009

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,698 $60K
2019 6,140 $73K
2020 5,670 $79K
2021 7,106 $113K
2022 8,438 $120K
2023 16,952 $167K
2024 5,939 $120K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,192 9,380 $359K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,044 9,681 $220K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,087 2,180 $82K
90832 Psychotherapy, 30 minutes with patient 733 530 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 780 552 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 699 491 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,392 570 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,028 722 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 83 70 $1K
90688 85 75 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 21 15 $595.26
90460 Immunization administration through 18 years of age via any route, first or only component 34 14 $236.39
99441 27 14 $124.88
36415 Collection of venous blood by venipuncture 59 55 $68.64
96160 16 12 $35.86
98971 31 29 $0.00
1036F 2,637 2,142 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 114 68 $0.00
3017F 183 152 $0.00
3074F 24 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 81 52 $0.00
G8484 Influenza immunization was not administered, reason not given 5,747 4,857 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,697 2,152 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,002 5,885 $0.00
G8482 Influenza immunization administered or previously received 253 230 $0.00
4004F 840 662 $0.00
81003 34 25 $0.00
3078F 20 12 $0.00