Mercy Clinic Pulmonology - ST. Louis, LLC

Mercy Clinic Pulmonology - ST. Louis, LLC was paid $253K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoMERCY CLINIC PULMONOLOGY - ST. LOUIS, LLC
SAINT LOUIS, MO 63141

33aNPI1821137886assigned 02/06/2007

33bProvider typePulmonary Disease Physician

28Total paid$253K

24GClaims6,660

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Missouri

Rank by total paid#6 of 35

Median peer was paid$20K

This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more

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	158	$4K
2019	335	$8K
2020	517	$13K
2021	1,205	$33K
2022	1,263	$48K
2023	1,803	$82K
2024incomplete	1,379	$65K

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	41%	1,782	1,724	$104K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	1,702	1,648	$67K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	1,835	626	$57K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.0%	78	75	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	66	66	$4K
95806		1.5%	123	118	$4K
94060		1.0%	331	324	$3K
94726		<1%	329	322	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	66	27	$2K
94729		<1%	323	316	$2K
99223	Prolong inpt eval add15 m	<1%	13	13	$1K
94761		<1%	12	12	$20.76

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 officialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)

Parent organizationMERCY CLINIC EAST COMMUNITIES

Same official

Other billing entities under DUNGER, KERRY

Full network →

Provider	Location	Paid
Mercy Clinic East Communities	Saint Louis, MO	$22.20M
ST Anthonys Physician Organization Hospitalist Services, L.C.	Saint Louis, MO	$4.15M
Mercy Clinic Adult Hospitalists- Jefferson, LLC	Festus, MO	$3.20M
Mercy Clinic Heart and Vascular, LLC	Saint Louis, MO	$3.11M
Mercy Clinic East Communities	Saint Louis, MO	$2.96M
Mercy Clinic East Communities	Saint Louis, MO	$2.82M
Mercy Clinic Maternal Fetal Medicine LLC	Saint Louis, MO	$2.68M
Mercy Clinic Adult Hospitalists - ST. Louis, LLC	Saint Louis, MO	$2.49M
Mercy Clinic Child and Adolescent Psychiatry, LLC	Saint Louis, MO	$2.08M
Mercy Clinic East Communities	Saint Louis, MO	$1.58M
Mercy Clinic Adult Psychiatry, LLC	Festus, MO	$1.29M
Mercy Clinic Oncology, LLC	Washington, MO	$1.29M
Mercy Clinic Kids Gi, LLC	Saint Louis, MO	$1.12M
Mercy East Support Services, LLC	Saint Louis, MO	$1.08M
Mercy Clinic Children's Heart Center, LLC	St Louis, MO	$1.00M
Mercy Clinic Children's Surgery, LLC	St. Louis, MO	$829K
Mercy Clinic Surgical Specialists, LLC	Washington, MO	$824K
Mercy Clinic East Communities	Sullivan, MO	$791K
Mercy Clinic Neurology, LLC	Saint Louis, MO	$784K
Mercy Womens Services LLC	Saint Louis, MO	$783K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.