Physician
Mercy Professional Care, LLC
Mercy Professional Care, LLC was paid $4.73M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoMERCY PROFESSIONAL CARE, LLC
CANTON, OH 44708
CANTON, OH 44708
33aNPI1902827876assigned 07/23/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.73M
24GClaims248,311
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Ohio
Rank by total paid#4 of 204
Median peer was paid$47K
This provider vs. median101×
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 | 39,965 | $676K | |
| 2019 | 39,311 | $725K | |
| 2020 | 35,523 | $740K | |
| 2021 | 31,490 | $746K | |
| 2022 | 36,206 | $664K | |
| 2023 | 34,137 | $621K | |
| 2024incomplete | 31,679 | $560K |
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 | 48% | 70,037 | 65,048 | $2.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 68,489 | 62,668 | $1.53M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.8% | 7,095 | 6,670 | $227K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 3,728 | 3,558 | $134K |
| 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 | 2.6% | 2,503 | 2,376 | $121K |
| 99460 | 1.8% | 1,267 | 1,186 | $86K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 8,633 | 6,417 | $47K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 971 | 900 | $44K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,088 | 1,016 | $30K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 542 | 517 | $20K |
| 62323 | <1% | 365 | 311 | $19K | |
| 99223 | Prolong inpt eval add15 m | <1% | 439 | 390 | $19K |
79 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,732 | $18K |
| 93000 | <1% | 1,300 | $14K | |
| 20610 | <1% | 384 | $11K | |
| 93458 | <1% | 91 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 564 | $10K |
| 51700 | <1% | 519 | $9K | |
| 93016 | <1% | 596 | $9K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 175 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 215 | $8K |
| 20553 | <1% | 272 | $8K | |
| 95886 | <1% | 568 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 121 | $7K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 112 | $6K |
| 93018 | <1% | 581 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 95 | $5K |
| 99462 | <1% | 145 | $4K | |
| 99406 | <1% | 599 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 401 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 174 | $3K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 289 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 135 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 208 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 501 | $3K |
| 99421 | <1% | 252 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,249 | $2K |
| 94060 | <1% | 221 | $2K | |
| 95811 | <1% | 28 | $2K | |
| 90686 | <1% | 150 | $2K | |
| 99254 | <1% | 33 | $2K | |
| 95909 | <1% | 49 | $2K | |
| 81002 | <1% | 971 | $2K | |
| 96127 | <1% | 371 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 148 | $1K |
| 99243 | <1% | 26 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 47 | $1K |
| 99401 | <1% | 53 | $847.20 | |
| 95911 | <1% | 13 | $826.13 | |
| 99152 | <1% | 120 | $814.42 | |
| 99407 | <1% | 55 | $770.86 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $764.55 |
| 77002 | <1% | 58 | $760.98 | |
| 90674 | <1% | 29 | $713.90 | |
| 93971 | <1% | 32 | $668.15 | |
| 99442 | <1% | 180 | $644.96 | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $624.20 |
| 94729 | <1% | 201 | $610.45 | |
| 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% | 1,526 | $431.27 |
| 81000 | <1% | 209 | $421.10 | |
| 94726 | <1% | 128 | $413.15 | |
| 93970 | <1% | 16 | $383.92 | |
| 99252 | <1% | 16 | $378.32 | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 469 | $373.85 |
| 99221 | <1% | 33 | $358.34 | |
| 99443 | <1% | 14 | $288.41 | |
| 99251 | <1% | 13 | $238.46 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 53 | $100.54 |
| 98925 | <1% | 13 | $96.60 | |
| 3079F | 0% | 6,375 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13,835 | $0.00 |
| 3074F | 0% | 15,365 | $0.00 | |
| 3075F | 0% | 1,240 | $0.00 | |
| 3080F | 0% | 758 | $0.00 | |
| 1036F | 0% | 6,400 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 351 | $0.00 |
| 1034F | 0% | 5,111 | $0.00 | |
| 3008F | 0% | 3,419 | $0.00 | |
| 99024 | 0% | 264 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 42 | $0.00 |
| 1101F | 0% | 107 | $0.00 | |
| 3044F | 0% | 83 | $0.00 | |
| 1000F | 0% | 43 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13 | $0.00 |
| 3078F | 0% | 10,982 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 222 | $0.00 |
| 3077F | 0% | 1,514 | $0.00 | |
| 2028F | 0% | 179 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 231 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $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 officialLONGVILLE, TIM (CHIEF ACCOUNTING OFFICER AND CONTRO)
| Provider | Location | Paid |
|---|---|---|
| The Cleveland Clinic Foundation | Beachwood, OH | $64K |
| Tuscarawas Ambulatory Surgery Center, LLC | Dover, OH | $22K |
| The Cleveland Clinic Foundation | Cleveland, OH | $175.39 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.