Clinic
Mercy Health Clinics, LLC
Mercy Health Clinics, LLC was paid $984K by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMERCY HEALTH CLINICS, LLC
IRVINE, KY 40336
IRVINE, KY 40336
33aNPI1811132525assigned 12/09/2008
33bProvider typeRural Health Clinic/Center
28Total paid$984K
24GClaims55,062
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#63 of 265
Median peer was paid$400K
This provider vs. median2.5×
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 | 12,903 | $208K | |
| 2019 | 12,539 | $227K | |
| 2020 | 7,768 | $174K | |
| 2021 | 8,097 | $108K | |
| 2022 | 5,556 | $95K | |
| 2023 | 5,404 | $102K | |
| 2024incomplete | 2,795 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 16,812 | 14,529 | $488K |
| 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 | 38% | 9,799 | 8,492 | $378K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 663 | 595 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 360 | 316 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 587 | 563 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 512 | 439 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 951 | 444 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 654 | 216 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 79 | 75 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 278 | 259 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 442 | 417 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 153 | 93 | $4K |
36 more codes
| 90688 | <1% | 223 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 184 | $2K |
| 99442 | <1% | 56 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 48 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 96 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 111 | $1K |
| 90632 | <1% | 53 | $1K | |
| 99305 | <1% | 47 | $1K | |
| 99441 | <1% | 45 | $998.06 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 43 | $993.98 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $974.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 174 | $770.68 |
| 90686 | <1% | 61 | $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 | <1% | 139 | $637.44 |
| 98967 | <1% | 12 | $163.50 | |
| 98966 | <1% | 19 | $156.34 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 30 | $114.73 |
| 82044 | <1% | 14 | $57.93 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 18 | $50.89 |
| 81002 | <1% | 63 | $25.58 | |
| 99000 | <1% | 115 | $11.25 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,810 | $0.00 |
| 4004F | 0% | 1,795 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,293 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 296 | $0.00 |
| 2022F | 0% | 73 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,036 | $0.00 |
| 3078F | 0% | 189 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 145 | $0.00 |
| 3017F | 0% | 2,122 | $0.00 | |
| 1036F | 0% | 3,053 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 109 | $0.00 |
| 3074F | 0% | 159 | $0.00 | |
| 3014F | 0% | 39 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 76 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 12 | $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 officialSTOCKER, TRENA (PRESIDENT)
Parent organizationMARCUM AND WALLACE MEMORIAL HOSPITAL
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.