Physician
Mercy Clinic East Communities
Mercy Clinic East Communities was paid $22.20M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoMERCY CLINIC EAST COMMUNITIES
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1851335228assigned 06/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$22.20M
24GClaims351,417
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#2 of 911
Median peer was paid$16K
This provider vs. median1,412×
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 | 5,146 | $141K | |
| 2019 | 3,481 | $105K | |
| 2020 | 31,700 | $1.30M | |
| 2021 | 77,511 | $3.51M | |
| 2022 | 76,068 | $4.72M | |
| 2023 | 88,975 | $6.95M | |
| 2024incomplete | 68,536 | $5.47M |
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 | 40% | 123,645 | 113,543 | $8.90M |
| 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 | 22% | 60,073 | 56,920 | $4.89M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 24,664 | 23,585 | $2.56M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 18,724 | 18,659 | $1.90M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 7,718 | 7,693 | $822K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 8,533 | 6,711 | $493K |
| 90698 | 1.7% | 10,030 | 9,990 | $370K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 2,824 | 2,816 | $306K |
| 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 | <1% | 1,445 | 1,391 | $166K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,262 | 2,182 | $156K |
| 90686 | <1% | 16,137 | 16,048 | $134K | |
| 76801 | <1% | 1,289 | 1,226 | $124K |
80 more codes
| 59025 | Fetal non-stress test | <1% | 3,274 | $97K |
| 90670 | <1% | 11,953 | $97K | |
| 0001A | <1% | 2,691 | $91K | |
| 99188 | <1% | 4,117 | $87K | |
| 90697 | <1% | 3,018 | $83K | |
| 76830 | Ultrasound, transvaginal | <1% | 705 | $79K |
| 92587 | <1% | 1,858 | $71K | |
| 90680 | <1% | 7,576 | $66K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,145 | $66K |
| 87430 | <1% | 3,840 | $61K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 638 | $46K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,539 | $44K |
| 92551 | <1% | 931 | $40K | |
| 90677 | <1% | 3,692 | $38K | |
| 0002A | <1% | 1,856 | $31K | |
| 90633 | <1% | 3,480 | $29K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,782 | $28K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 326 | $28K |
| 90710 | <1% | 816 | $25K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,140 | $20K |
| 90744 | <1% | 2,467 | $19K | |
| 90656 | <1% | 1,571 | $16K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 360 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 166 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 106 | $14K |
| 87428 | <1% | 264 | $14K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 866 | $13K |
| 99460 | <1% | 148 | $11K | |
| 95251 | <1% | 494 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 163 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 175 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 450 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,810 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 163 | $6K |
| 90651 | <1% | 806 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 112 | $6K |
| 99381 | <1% | 68 | $6K | |
| 90696 | <1% | 181 | $5K | |
| 0003A | <1% | 237 | $4K | |
| 90715 | <1% | 169 | $4K | |
| 59430 | <1% | 12 | $3K | |
| 90734 | <1% | 441 | $3K | |
| 90688 | <1% | 441 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 121 | $3K |
| 90707 | <1% | 122 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 36 | $2K |
| 90619 | <1% | 229 | $2K | |
| 87400 | <1% | 125 | $2K | |
| 81025 | <1% | 293 | $2K | |
| 0071A | <1% | 116 | $2K | |
| 82962 | <1% | 2,200 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 109 | $2K |
| 0124A | <1% | 113 | $2K | |
| 85018 | <1% | 653 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 45 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 84 | $1K |
| 90681 | <1% | 188 | $1K | |
| 87420 | <1% | 92 | $1K | |
| 95886 | <1% | 15 | $1K | |
| 99385 | <1% | 14 | $1K | |
| 96161 | <1% | 365 | $1K | |
| 87807 | <1% | 87 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 90620 | <1% | 141 | $1K | |
| 90716 | <1% | 122 | $1K | |
| 81002 | <1% | 200 | $695.56 | |
| 80305 | <1% | 58 | $650.34 | |
| 90685 | <1% | 89 | $647.31 | |
| 20611 | <1% | 13 | $578.07 | |
| 99417 | Prolong home eval add 15m | <1% | 12 | $496.38 |
| 99305 | <1% | 13 | $469.56 | |
| 99462 | <1% | 14 | $405.66 | |
| 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% | 106 | $305.69 |
| 99318 | <1% | 16 | $298.46 | |
| 99173 | <1% | 12 | $268.80 | |
| 90381 | <1% | 24 | $237.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 88 | $210.60 |
| 90380 | <1% | 16 | $164.36 | |
| 36416 | 0% | 26 | $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 officialDUNGER, KERRY (EXECUTIVE DIRECTOR -FINANCE)
Parent organizationMERCY HEALTH EAST COMMUNITIES
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.