Physician
ST Mary Mercy Physician Practices
ST Mary Mercy Physician Practices was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoST MARY MERCY PHYSICIAN PRACTICES
DETROIT, MI 48213
DETROIT, MI 48213
33aNPI1801303086assigned 01/09/2018
33bProvider typeFamily Medicine Physician
28Total paid$2.15M
24GClaims80,482
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#59 of 826
Median peer was paid$98K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2018 | 14,264 | $187K | |
| 2019 | 17,531 | $241K | |
| 2020 | 8,076 | $256K | |
| 2021 | 11,498 | $407K | |
| 2022 | 13,101 | $409K | |
| 2023 | 10,913 | $441K | |
| 2024incomplete | 5,099 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 12,485 | 12,125 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,497 | 9,965 | $577K |
| 90677 | 2.4% | 213 | 213 | $51K | |
| 90750 | 2.1% | 321 | 318 | $46K | |
| 90686 | 1.6% | 2,006 | 2,001 | $34K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 3,246 | 3,224 | $32K |
| 99385 | 1.3% | 399 | 395 | $28K | |
| 90746 | 1.3% | 480 | 479 | $28K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 316 | 316 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 3,308 | 3,288 | $23K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 7,949 | 7,738 | $22K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 436 | 382 | $21K |
65 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,593 | $20K |
| 99386 | <1% | 229 | $20K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,109 | $16K |
| 90670 | <1% | 80 | $15K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 180 | $15K |
| 90715 | <1% | 395 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 97 | $12K |
| 91320 | <1% | 110 | $11K | |
| 81025 | <1% | 1,715 | $11K | |
| 0001A | <1% | 278 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 55 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 81 | $8K |
| 90732 | <1% | 79 | $8K | |
| 96160 | <1% | 2,352 | $8K | |
| 0124A | <1% | 218 | $7K | |
| 87210 | <1% | 1,563 | $7K | |
| 93000 | <1% | 887 | $7K | |
| 0002A | <1% | 174 | $6K | |
| 0004A | <1% | 192 | $6K | |
| 90679 | <1% | 27 | $5K | |
| 99406 | <1% | 724 | $5K | |
| 81002 | <1% | 1,983 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 127 | $5K |
| 94010 | <1% | 275 | $4K | |
| 90480 | <1% | 110 | $4K | |
| 0054A | <1% | 124 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 169 | $3K |
| 82044 | <1% | 607 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 26 | $2K |
| 0003A | <1% | 40 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 677 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 90656 | <1% | 58 | $970.19 | |
| 36416 | <1% | 152 | $535.92 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $520.05 |
| 90651 | <1% | 13 | $458.68 | |
| 0031A | <1% | 12 | $325.99 | |
| 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) | <1% | 49 | $248.58 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $84.55 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $63.68 |
| 82962 | <1% | 25 | $57.54 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 43 | $52.82 |
| G0008 | Administration of influenza virus vaccine | <1% | 73 | $32.26 |
| 81003 | <1% | 17 | $23.21 | |
| 3008F | <1% | 5,868 | $0.28 | |
| 4004F | 0% | 323 | $0.00 | |
| 3078F | 0% | 2,395 | $0.00 | |
| 3077F | 0% | 1,302 | $0.00 | |
| 3045F | 0% | 155 | $0.00 | |
| 3046F | 0% | 117 | $0.00 | |
| 90662 | 0% | 14 | $0.00 | |
| 91312 | 0% | 57 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 91300 | 0% | 28 | $0.00 | |
| 3079F | 0% | 2,600 | $0.00 | |
| 1034F | 0% | 320 | $0.00 | |
| 3044F | 0% | 1,198 | $0.00 | |
| 3074F | 0% | 3,903 | $0.00 | |
| 3080F | 0% | 1,311 | $0.00 | |
| 3075F | 0% | 1,117 | $0.00 | |
| 91305 | 0% | 65 | $0.00 | |
| 3061F | 0% | 197 | $0.00 | |
| 3060F | 0% | 24 | $0.00 | |
| 94760 | 0% | 34 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 15 | $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 officialLOCKARD, SUSAN (SR REVENUE MANAGEMENT ANALYST)
| Provider | Location | Paid |
|---|---|---|
| Saint Mary's Health Services | Grand Rapids, MI | $63K |
| Saint Mary's Health Services | Grand Rapids, MI | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.