Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › PADUCAH › MERCY HEALTH PHYSICIANS KENTUCKY LLC

MERCY HEALTH PHYSICIANS KENTUCKY LLC

NPI: 1922243690 · PADUCAH, KY 42003 · Certified Registered Nurse Anesthetist · NPI assigned 12/10/2008

$11.90M
Total Medicaid Paid
604,496
Total Claims
495,794
Beneficiaries
173
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARDY, SHANE (CFO, MEDICAL GROUP)
NPI Enumeration Date12/10/2008

Related Entities

Other providers sharing the same authorized official: HARDY, SHANE

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS CINCINNATI, LLC CINCINNATI OH $28.01M
BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC RICHMOND VA $9.80M
MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH $7.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147,607 $2.64M
2019 137,221 $2.76M
2020 89,938 $1.78M
2021 65,879 $1.32M
2022 60,629 $1.14M
2023 58,877 $1.19M
2024 44,345 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99,505 85,969 $3.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 126,540 107,461 $3.50M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,552 5,067 $359K
90460 Immunization administration through 18 years of age via any route, first or only component 24,201 11,676 $355K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,713 4,262 $352K
99284 Emergency department visit for the evaluation and management, high severity 6,909 6,285 $350K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,562 5,045 $318K
99283 Emergency department visit for the evaluation and management, moderate severity 8,205 7,548 $273K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,837 12,558 $192K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,204 6,049 $177K
90461 14,346 5,303 $171K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,501 2,269 $157K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,185 1,948 $115K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,161 4,008 $109K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,210 1,037 $95K
99233 Prolong inpt eval add15 m 3,429 1,561 $92K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,223 11,548 $85K
99223 Prolong inpt eval add15 m 1,608 1,247 $84K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,310 2,123 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,876 1,646 $77K
99239 Hospital discharge day management, more than 30 minutes 1,946 1,536 $67K
99232 Subsequent hospital care, per day, moderate complexity 3,203 1,504 $58K
90670 3,604 3,242 $56K
90792 Psychiatric diagnostic evaluation with medical services 777 675 $46K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 84 73 $46K
99238 Hospital discharge day management, 30 minutes or less 1,376 1,188 $45K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 218 194 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 550 475 $34K
90791 Psychiatric diagnostic evaluation 604 511 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,302 1,203 $29K
90832 Psychotherapy, 30 minutes with patient 1,394 903 $29K
90837 Psychotherapy, 53 minutes with patient 570 372 $28K
90723 2,554 2,312 $24K
95886 458 417 $23K
90680 2,370 2,151 $23K
45380 Colonoscopy, flexible; with biopsy, single or multiple 135 123 $23K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 169 146 $22K
93458 119 106 $20K
20553 1,415 1,166 $19K
99443 546 469 $19K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 223 150 $19K
99243 241 231 $19K
97597 1,083 604 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 580 517 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,070 985 $16K
90648 2,692 2,413 $15K
95806 202 119 $15K
99215 Prolong outpt/office vis 326 286 $15K
99307 2,955 2,771 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 870 779 $14K
99242 241 232 $14K
93000 1,371 1,247 $14K
90686 2,814 2,595 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters 120 117 $12K
87428 232 221 $11K
99460 247 229 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 266 249 $9K
0002A 463 430 $9K
99222 Initial hospital care, per day, moderate complexity 213 183 $9K
83655 773 689 $8K
95811 79 75 $8K
92587 350 321 $8K
0001A 460 419 $8K
92567 1,050 886 $8K
36415 Collection of venous blood by venipuncture 2,063 1,796 $8K
90633 1,087 1,009 $8K
93923 485 463 $8K
80305 904 837 $8K
90674 483 435 $7K
99442 271 250 $7K
20611 231 179 $7K
86756 427 377 $6K
90677 400 369 $6K
93971 383 352 $6K
76942 323 281 $5K
95951 39 14 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 185 114 $5K
27096 121 97 $4K
93016 307 283 $4K
90472 Immunization administration, each additional vaccine (list separately) 331 212 $4K
93880 372 348 $4K
90834 Psychotherapy, 45 minutes with patient 164 111 $4K
99497 108 99 $4K
93018 306 282 $3K
64405 131 108 $3K
99381 57 40 $3K
99221 92 80 $3K
99406 454 396 $2K
69210 116 101 $2K
83036 Hemoglobin; glycosylated (A1C) 303 282 $2K
93970 120 109 $2K
85018 798 728 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
90685 174 165 $2K
64450 54 53 $1K
99205 Prolong outpt/office vis 60 54 $1K
95911 12 12 $1K
90697 121 114 $1K
81025 187 168 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 13 $1K
64615 12 12 $963.08
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 13 $918.78
90474 110 101 $900.66
99220 14 12 $890.38
99152 162 147 $858.61
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 16 $853.76
95819 26 26 $849.78
90661 53 53 $817.88
90682 30 28 $773.77
99422 40 36 $744.93
20552 74 65 $719.65
90688 55 54 $691.25
99421 79 67 $688.51
90707 81 74 $633.56
99201 40 35 $605.06
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 18 14 $581.47
99253 13 12 $523.25
93296 41 39 $514.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg 438 405 $445.52
59025 Fetal non-stress test 25 12 $429.68
99219 13 13 $427.15
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 51 49 $412.91
81002 890 821 $406.28
90651 40 29 $387.21
93351 14 13 $365.21
90694 13 13 $360.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 57 40 $352.87
87807 46 38 $320.11
99308 Subsequent nursing facility care, per day, straightforward 14 14 $295.33
98968 29 26 $288.74
85610 122 86 $258.69
99401 17 13 $244.15
81003 445 396 $218.00
51798 32 30 $211.26
90716 14 14 $190.73
90696 33 27 $186.26
90710 20 15 $177.57
90734 27 25 $175.19
96160 58 57 $155.63
92553 14 12 $152.55
96380 16 15 $152.36
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $140.55
81001 159 139 $136.99
J1030 Injection, methylprednisolone acetate, 40 mg 28 25 $125.04
92552 15 14 $110.16
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 942 845 $67.10
99441 15 15 $57.74
90662 13 13 $31.82
1036F 26,827 22,765 $23.31
G8484 Influenza immunization was not administered, reason not given 46,654 39,741 $16.72
G0008 Administration of influenza virus vaccine 50 47 $12.20
3017F 10,155 8,977 $3.31
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 21 19 $1.57
91300 556 437 $0.16
G8420 Bmi is documented within normal parameters and no follow-up plan is required 574 486 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 395 289 $0.00
3014F 16 15 $0.00
3074F 477 427 $0.00
1123F 45 42 $0.00
3079F 46 43 $0.00
99024 17 12 $0.00
1101F 15 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 60,660 52,110 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 28,715 24,660 $0.00
G8482 Influenza immunization administered or previously received 3,271 2,911 $0.00
4004F 8,307 7,283 $0.00
3078F 476 427 $0.00
G8598 Aspirin or another antiplatelet therapy used 359 338 $0.00
3046F 45 43 $0.00
2022F 140 129 $0.00
4040F 59 55 $0.00
3045F 13 13 $0.00
1090F 13 12 $0.00