Clinic
Mercy Hospitals East Communities
Mercy Hospitals East Communities was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMERCY HOSPITALS EAST COMMUNITIES
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
33aNPI1851431738assigned 02/08/2007
33bProvider typeClinic/Center
28Total paid$2.59M
24GClaims32,179
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Missouri
Rank by total paid#5 of 77
Median peer was paid$48K
This provider vs. median53×
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 | 895 | $18K | |
| 2019 | 1,409 | $48K | |
| 2020 | 3,920 | $205K | |
| 2021 | 6,268 | $375K | |
| 2022 | 6,713 | $558K | |
| 2023 | 7,128 | $760K | |
| 2024incomplete | 5,846 | $625K |
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 | 39% | 16,293 | 14,882 | $1.01M |
| 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 | 19% | 4,598 | 4,435 | $504K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,634 | 2,616 | $291K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,492 | 2,490 | $285K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 2,121 | 2,121 | $252K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 1,463 | 1,463 | $178K |
| 99188 | 2.0% | 2,084 | 2,084 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 245 | 238 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 53 | 17 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 83 | 82 | $2K |
| 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% | 13 | 13 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | 12 | $629.66 |
3 more codes
| 99442 | <1% | 52 | $246.36 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 17 | $55.50 |
| 99443 | <1% | 19 | $33.74 |
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 officialSCOFFIC, DENISE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Hospitals East Communities | Saint Louis, MO | $56.55M |
| Mercy Health Services, LLC | Saint Louis, MO | $152K |
| Mercy Health Services LLC | Saint Louis, MO | $147K |
| Mercy Health Services LLC | Saint Louis, MO | $37K |
| Mercy Hospitals East Communities | Saint Louis, MO | $15K |
| Mercy Health Services, LLC | St. Louis, MO | $15K |
| Mercy Hospitals East Communities | Saint Louis, MO | $883.43 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.