Medicaid Provider Spending

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

MERCY CLINIC EAST COMMUNITIES

NPI: 1851335228 · SAINT LOUIS, MO 63141 · Family Medicine Physician · NPI assigned 06/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$22.20M
Total Medicaid Paid
351,417
Total Claims
329,382
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR -FINANCE)
Parent OrganizationMERCY HEALTH EAST COMMUNITIES
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

ProviderCityStateTotal Paid
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
MERCY CLINIC ADULT CRITICAL CARE, LLC SAINT LOUIS MO $747K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 68,536 $5.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123,645 113,543 $8.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 60,073 56,920 $4.89M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24,664 23,585 $2.56M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,724 18,659 $1.90M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,718 7,693 $822K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,533 6,711 $493K
90698 10,030 9,990 $370K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,824 2,816 $306K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,445 1,391 $166K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,262 2,182 $156K
90686 16,137 16,048 $134K
76801 1,289 1,226 $124K
59025 Fetal non-stress test 3,274 2,397 $97K
90670 11,953 11,901 $97K
0001A 2,691 2,666 $91K
99188 4,117 4,103 $87K
90697 3,018 3,002 $83K
76830 Ultrasound, transvaginal 705 695 $79K
92587 1,858 1,849 $71K
90680 7,576 7,539 $66K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,145 794 $66K
87430 3,840 3,723 $61K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 638 586 $46K
99232 Subsequent hospital care, per day, moderate complexity 1,539 356 $44K
92551 931 926 $40K
90677 3,692 3,669 $38K
0002A 1,856 972 $31K
90633 3,480 3,464 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,782 1,756 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 326 320 $28K
90710 816 812 $25K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,140 885 $20K
90744 2,467 2,450 $19K
90656 1,571 1,568 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 360 355 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 166 163 $15K
99205 Prolong outpt/office vis 106 102 $14K
87428 264 260 $14K
99308 Subsequent nursing facility care, per day, straightforward 866 750 $13K
99460 148 144 $11K
95251 494 484 $10K
99215 Prolong outpt/office vis 57 56 $10K
99238 Hospital discharge day management, 30 minutes or less 163 159 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 175 173 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 450 424 $7K
83036 Hemoglobin; glycosylated (A1C) 1,810 1,521 $7K
99239 Hospital discharge day management, more than 30 minutes 163 145 $6K
90651 806 806 $6K
99222 Initial hospital care, per day, moderate complexity 112 100 $6K
99381 68 66 $6K
90696 181 180 $5K
0003A 237 117 $4K
90715 169 169 $4K
59430 12 12 $3K
90734 441 441 $3K
90688 441 438 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 121 104 $3K
90707 122 120 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 36 34 $2K
90619 229 229 $2K
87400 125 86 $2K
81025 293 289 $2K
0071A 116 58 $2K
82962 2,200 1,699 $2K
99310 Prolong nursin fac eval 15m 109 100 $2K
0124A 113 49 $2K
85018 653 651 $2K
99306 Prolong nursin fac eval 15m 45 42 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 84 28 $1K
90681 188 188 $1K
87420 92 91 $1K
95886 15 15 $1K
99385 14 14 $1K
96161 365 359 $1K
87807 87 86 $1K
99383 12 12 $1K
90620 141 135 $1K
90716 122 120 $1K
81002 200 148 $695.56
80305 58 52 $650.34
90685 89 89 $647.31
20611 13 13 $578.07
99417 Prolong home eval add 15m 12 12 $496.38
99305 13 13 $469.56
99462 14 12 $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) 106 98 $305.69
99318 16 15 $298.46
99173 12 12 $268.80
90381 24 24 $237.14
36415 Collection of venous blood by venipuncture 88 82 $210.60
90380 16 16 $164.36
36416 26 25 $0.00