Medicaid Provider Spending

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

MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC

NPI: 1790308104 · SPRINGFIELD, OH 45504 · Sports Medicine (Orthopaedic Surgery) Physician

$4.89M
Total Medicaid Paid
373,686
Total Claims
325,624
Beneficiaries
120
Codes Billed
2021-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 76,880 $974K
2022 102,051 $1.31M
2023 105,357 $1.37M
2024 89,398 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 28,946 26,457 $1.23M
99213 27,990 24,277 $940K
93306 5,690 5,451 $414K
93010 33,862 27,873 $224K
59409 305 271 $151K
99204 2,455 2,292 $148K
76830 2,319 2,227 $145K
78452 951 875 $113K
99395 1,758 1,686 $101K
99203 2,245 2,101 $93K
99233 Prolong inpt eval add15 m 3,177 1,390 $89K
99232 4,544 1,971 $85K
76805 1,045 1,012 $85K
11042 6,563 3,348 $85K
76819 1,219 635 $74K
93000 6,198 5,755 $65K
76816 1,091 970 $65K
99255 693 648 $60K
99215 Prolong outpt/office vis 911 848 $58K
99284 1,030 886 $54K
76801 808 735 $53K
59514 73 64 $43K
95911 393 387 $37K
20610 1,154 876 $37K
95886 841 818 $36K
43239 390 329 $28K
93015 520 474 $27K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 234 219 $24K
99205 Prolong outpt/office vis 384 310 $22K
99223 Prolong inpt eval add15 m 469 438 $22K
H1000 Prenatal care, at-risk assessment 631 550 $20K
36415 6,191 5,381 $18K
99253 395 369 $17K
45385 66 50 $15K
99385 269 260 $14K
99212 633 595 $12K
59025 905 749 $12K
J2785 Injection, regadenoson, 0.1 mg 85 75 $11K
99254 174 164 $10K
11045 590 307 $10K
81025 1,764 1,637 $10K
90792 128 110 $9K
93296 789 745 $9K
45380 130 95 $7K
59430 77 75 $7K
77427 77 39 $6K
96372 515 484 $6K
99244 78 76 $6K
93018 621 592 $5K
77014 128 14 $5K
H1002 Prenatal care, at risk enhanced service; care coordination 549 474 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,083 921 $4K
93016 344 329 $4K
54150 91 86 $4K
99221 111 108 $4K
93294 250 239 $4K
93971 50 44 $3K
99245 31 30 $3K
93298 197 178 $3K
99459 241 232 $3K
90832 429 336 $3K
95810 46 43 $3K
94060 104 92 $3K
95910 28 27 $2K
90791 92 85 $2K
99238 93 90 $2K
93970 25 25 $2K
94729 104 93 $2K
93017 81 79 $2K
95816 70 65 $2K
93297 119 111 $1K
99285 13 13 $1K
99231 94 51 $1K
99396 16 14 $1K
99211 86 82 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 82 70 $917.06
97597 193 116 $880.10
99222 38 36 $819.61
99220 13 13 $783.18
99202 28 27 $671.62
93295 27 24 $620.78
93272 19 18 $397.94
73564 37 28 $394.30
99239 21 19 $392.74
73562 18 14 $332.64
94618 13 13 $300.02
81002 130 122 $275.15
93227 12 12 $265.59
94727 13 13 $257.84
H1003 Prenatal care, at-risk enhanced service; education 13 13 $190.95
94726 13 12 $181.35
80305 12 12 $102.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 35,721 32,227 $58.98
2022F 422 393 $40.01
3017F 20,012 18,210 $18.14
3046F 88 80 $10.00
11719 43 29 $8.74
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 55,118 49,555 $1.09
1123F 2,804 2,504 $0.04
3074F 4,801 4,393 $0.03
3078F 5,531 5,015 $0.03
1036F 34,515 30,666 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 5,357 4,347 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,788 3,337 $0.00
G8926 Spirometry test not performed or documented, reason not given 239 225 $0.00
3075F 315 281 $0.00
3079F 637 588 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 692 654 $0.00
99024 369 227 $0.00
1126F 16 13 $0.00
99443 14 13 $0.00
G8484 Influenza immunization was not administered, reason not given 28,824 25,408 $0.00
4004F 14,257 12,767 $0.00
3023F 503 476 $0.00
3077F 576 495 $0.00
1090F 450 386 $0.00
4040F 772 699 $0.00
G8482 Influenza immunization administered or previously received 219 185 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 52 37 $0.00
1159F 18 15 $0.00