Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CANTON › MERCY PROFESSIONAL CARE, LLC

MERCY PROFESSIONAL CARE, LLC

NPI: 1902827876 · CANTON, OH 44708 · Obstetrics & Gynecology Physician · NPI assigned 07/23/2006

$4.73M
Total Medicaid Paid
248,311
Total Claims
226,964
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONGVILLE, TIM (CHIEF ACCOUNTING OFFICER AND CONTRO)
NPI Enumeration Date07/23/2006

Related Entities

Other providers sharing the same authorized official: LONGVILLE, TIM

ProviderCityStateTotal Paid
THE CLEVELAND CLINIC FOUNDATION BEACHWOOD OH $64K
TUSCARAWAS AMBULATORY SURGERY CENTER, LLC DOVER OH $22K
THE CLEVELAND CLINIC FOUNDATION CLEVELAND OH $175.39

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 31,679 $560K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,037 65,048 $2.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68,489 62,668 $1.53M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,095 6,670 $227K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,728 3,558 $134K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,503 2,376 $121K
99460 1,267 1,186 $86K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,633 6,417 $47K
99215 Prolong outpt/office vis 971 900 $44K
99238 Hospital discharge day management, 30 minutes or less 1,088 1,016 $30K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 542 517 $20K
62323 365 311 $19K
99223 Prolong inpt eval add15 m 439 390 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,732 1,591 $18K
93000 1,300 1,213 $14K
20610 384 356 $11K
93458 91 89 $10K
99232 Subsequent hospital care, per day, moderate complexity 564 262 $10K
51700 519 219 $9K
93016 596 569 $9K
90792 Psychiatric diagnostic evaluation with medical services 175 168 $9K
99239 Hospital discharge day management, more than 30 minutes 215 199 $8K
20553 272 226 $8K
95886 568 537 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 121 113 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 112 110 $6K
93018 581 554 $5K
99244 Office or other outpatient consultation, moderate to high complexity 95 92 $5K
99462 145 130 $4K
99406 599 554 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 401 376 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 174 168 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 289 282 $3K
99233 Prolong inpt eval add15 m 135 52 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 208 179 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 501 324 $3K
99421 252 228 $3K
36415 Collection of venous blood by venipuncture 1,249 1,160 $2K
94060 221 214 $2K
95811 28 28 $2K
90686 150 123 $2K
99254 33 31 $2K
95909 49 39 $2K
81002 971 835 $2K
96127 371 303 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $1K
99308 Subsequent nursing facility care, per day, straightforward 148 132 $1K
99243 26 26 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 47 44 $1K
99401 53 53 $847.20
95911 13 13 $826.13
99152 120 103 $814.42
99407 55 54 $770.86
99222 Initial hospital care, per day, moderate complexity 14 13 $764.55
77002 58 51 $760.98
90674 29 29 $713.90
93971 32 30 $668.15
99442 180 175 $644.96
99205 Prolong outpt/office vis 15 12 $624.20
94729 201 196 $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) 1,526 1,453 $431.27
81000 209 167 $421.10
94726 128 123 $413.15
93970 16 15 $383.92
99252 16 13 $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.) 469 438 $373.85
99221 33 27 $358.34
99443 14 14 $288.41
99251 13 12 $238.46
99231 Subsequent hospital care, per day, straightforward or low complexity 53 16 $100.54
98925 13 12 $96.60
3079F 6,375 5,803 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13,835 13,214 $0.00
3074F 15,365 13,970 $0.00
3075F 1,240 1,120 $0.00
3080F 758 710 $0.00
1036F 6,400 5,821 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 351 308 $0.00
1034F 5,111 4,738 $0.00
3008F 3,419 3,162 $0.00
99024 264 183 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 39 $0.00
1101F 107 99 $0.00
3044F 83 73 $0.00
1000F 43 42 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 12 $0.00
3078F 10,982 10,013 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 222 196 $0.00
3077F 1,514 1,427 $0.00
2028F 179 175 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 231 220 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 12 $0.00