Medicaid Provider Spending

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

MERCY HEALTH CLINICS, LLC

NPI: 1811132525 · IRVINE, KY 40336 · Rural Health Clinic/Center · NPI assigned 12/09/2008

$984K
Total Medicaid Paid
55,062
Total Claims
47,433
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTOCKER, TRENA (PRESIDENT)
Parent OrganizationMARCUM AND WALLACE MEMORIAL HOSPITAL
NPI Enumeration Date12/09/2008

Related Entities

Other providers sharing the same authorized official: STOCKER, TRENA

ProviderCityStateTotal Paid
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC IRVINE KY $19.51M
MERCY HEALTH CLINICS, LLC CLAY CITY KY $824K
MERCY HEALTH CLINICS, LLC BEATTYVILLE KY $193K
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC IRVINE KY $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,903 $208K
2019 12,539 $227K
2020 7,768 $174K
2021 8,097 $108K
2022 5,556 $95K
2023 5,404 $102K
2024 2,795 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,812 14,529 $488K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,799 8,492 $378K
99238 Hospital discharge day management, 30 minutes or less 663 595 $19K
99222 Initial hospital care, per day, moderate complexity 360 316 $17K
99308 Subsequent nursing facility care, per day, straightforward 587 563 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 512 439 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 951 444 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 654 216 $9K
99223 Prolong inpt eval add15 m 79 75 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 278 259 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 442 417 $5K
99232 Subsequent hospital care, per day, moderate complexity 153 93 $4K
90688 223 214 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 184 174 $2K
99442 56 54 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 48 44 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 96 69 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 111 94 $1K
90632 53 45 $1K
99305 47 42 $1K
99441 45 43 $998.06
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 43 43 $993.98
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $974.08
83036 Hemoglobin; glycosylated (A1C) 174 159 $770.68
90686 61 53 $710.62
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 139 117 $637.44
98967 12 12 $163.50
98966 19 19 $156.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 30 27 $114.73
82044 14 14 $57.93
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 18 12 $50.89
81002 63 54 $25.58
99000 115 102 $11.25
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,810 6,005 $0.00
4004F 1,795 1,581 $0.00
G8484 Influenza immunization was not administered, reason not given 3,293 2,870 $0.00
G8482 Influenza immunization administered or previously received 296 243 $0.00
2022F 73 65 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,036 3,579 $0.00
3078F 189 178 $0.00
T1015 Clinic visit/encounter, all-inclusive 145 120 $0.00
3017F 2,122 1,894 $0.00
1036F 3,053 2,686 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 109 100 $0.00
3074F 159 151 $0.00
3014F 39 38 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 76 69 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00