NP / PA
Mercy Health Physicians Kentucky LLC
Mercy Health Physicians Kentucky LLC was paid $11.90M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS KENTUCKY LLC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1922243690assigned 12/10/2008
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$11.90M
24GClaims604,496
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in Kentucky
Rank by total paid#4 of 53
Median peer was paid$84K
This provider vs. median142×
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 | 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 | |
| 2024incomplete | 44,345 | $1.07M |
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 | 32% | 99,505 | 85,969 | $3.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 126,540 | 107,461 | $3.50M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 5,552 | 5,067 | $359K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 24,201 | 11,676 | $355K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.0% | 4,713 | 4,262 | $352K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.9% | 6,909 | 6,285 | $350K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 5,562 | 5,045 | $318K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.3% | 8,205 | 7,548 | $273K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 13,837 | 12,558 | $192K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 13,204 | 6,049 | $177K |
| 90461 | 1.4% | 14,346 | 5,303 | $171K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 2,501 | 2,269 | $157K |
161 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,185 | $115K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,161 | $109K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,210 | $95K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,429 | $92K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14,223 | $85K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,608 | $84K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,310 | $79K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,876 | $77K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,946 | $67K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,203 | $58K |
| 90670 | <1% | 3,604 | $56K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 777 | $46K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 84 | $46K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,376 | $45K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 218 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 550 | $34K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 604 | $33K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,302 | $29K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,394 | $29K |
| 90837 | Psychotherapy session, about an hour | <1% | 570 | $28K |
| 90723 | <1% | 2,554 | $24K | |
| 95886 | <1% | 458 | $23K | |
| 90680 | <1% | 2,370 | $23K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 135 | $23K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 169 | $22K |
| 93458 | <1% | 119 | $20K | |
| 20553 | <1% | 1,415 | $19K | |
| 99443 | <1% | 546 | $19K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 223 | $19K |
| 99243 | <1% | 241 | $19K | |
| 97597 | <1% | 1,083 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 580 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,070 | $16K |
| 90648 | <1% | 2,692 | $15K | |
| 95806 | <1% | 202 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 326 | $15K |
| 99307 | <1% | 2,955 | $15K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 870 | $14K |
| 99242 | <1% | 241 | $14K | |
| 93000 | <1% | 1,371 | $14K | |
| 90686 | <1% | 2,814 | $14K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 120 | $12K |
| 87428 | <1% | 232 | $11K | |
| 99460 | <1% | 247 | $10K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 266 | $9K |
| 0002A | <1% | 463 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 213 | $9K |
| 83655 | <1% | 773 | $8K | |
| 95811 | <1% | 79 | $8K | |
| 92587 | <1% | 350 | $8K | |
| 0001A | <1% | 460 | $8K | |
| 92567 | <1% | 1,050 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,063 | $8K |
| 90633 | <1% | 1,087 | $8K | |
| 93923 | <1% | 485 | $8K | |
| 80305 | <1% | 904 | $8K | |
| 90674 | <1% | 483 | $7K | |
| 99442 | <1% | 271 | $7K | |
| 20611 | <1% | 231 | $7K | |
| 86756 | <1% | 427 | $6K | |
| 90677 | <1% | 400 | $6K | |
| 93971 | <1% | 383 | $6K | |
| 76942 | <1% | 323 | $5K | |
| 95951 | <1% | 39 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 185 | $5K |
| 27096 | <1% | 121 | $4K | |
| 93016 | <1% | 307 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 331 | $4K |
| 93880 | <1% | 372 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 164 | $4K |
| 99497 | <1% | 108 | $4K | |
| 93018 | <1% | 306 | $3K | |
| 64405 | <1% | 131 | $3K | |
| 99381 | <1% | 57 | $3K | |
| 99221 | <1% | 92 | $3K | |
| 99406 | <1% | 454 | $2K | |
| 69210 | <1% | 116 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 303 | $2K |
| 93970 | <1% | 120 | $2K | |
| 85018 | <1% | 798 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 90685 | <1% | 174 | $2K | |
| 64450 | <1% | 54 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 60 | $1K |
| 95911 | <1% | 12 | $1K | |
| 90697 | <1% | 121 | $1K | |
| 81025 | <1% | 187 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $1K |
| 64615 | <1% | 12 | $963.08 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $918.78 |
| 90474 | <1% | 110 | $900.66 | |
| 99220 | <1% | 14 | $890.38 | |
| 99152 | <1% | 162 | $858.61 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $853.76 |
| 95819 | <1% | 26 | $849.78 | |
| 90661 | <1% | 53 | $817.88 | |
| 90682 | <1% | 30 | $773.77 | |
| 99422 | <1% | 40 | $744.93 | |
| 20552 | <1% | 74 | $719.65 | |
| 90688 | <1% | 55 | $691.25 | |
| 99421 | <1% | 79 | $688.51 | |
| 90707 | <1% | 81 | $633.56 | |
| 99201 | <1% | 40 | $605.06 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 18 | $581.47 |
| 99253 | <1% | 13 | $523.25 | |
| 93296 | <1% | 41 | $514.58 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 438 | $445.52 |
| 59025 | Fetal non-stress test | <1% | 25 | $429.68 |
| 99219 | <1% | 13 | $427.15 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 51 | $412.91 |
| 81002 | <1% | 890 | $406.28 | |
| 90651 | <1% | 40 | $387.21 | |
| 93351 | <1% | 14 | $365.21 | |
| 90694 | <1% | 13 | $360.11 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 57 | $352.87 |
| 87807 | <1% | 46 | $320.11 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $295.33 |
| 98968 | <1% | 29 | $288.74 | |
| 85610 | <1% | 122 | $258.69 | |
| 99401 | <1% | 17 | $244.15 | |
| 81003 | <1% | 445 | $218.00 | |
| 51798 | <1% | 32 | $211.26 | |
| 90716 | <1% | 14 | $190.73 | |
| 90696 | <1% | 33 | $186.26 | |
| 90710 | <1% | 20 | $177.57 | |
| 90734 | <1% | 27 | $175.19 | |
| 96160 | <1% | 58 | $155.63 | |
| 92553 | <1% | 14 | $152.55 | |
| 96380 | <1% | 16 | $152.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $140.55 |
| 81001 | <1% | 159 | $136.99 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 28 | $125.04 |
| 92552 | <1% | 15 | $110.16 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 942 | $67.10 |
| 99441 | <1% | 15 | $57.74 | |
| 90662 | <1% | 13 | $31.82 | |
| 1036F | <1% | 26,827 | $23.31 | |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 46,654 | $16.72 |
| G0008 | Administration of influenza virus vaccine | <1% | 50 | $12.20 |
| 3017F | <1% | 10,155 | $3.31 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 21 | $1.57 |
| 91300 | <1% | 556 | $0.16 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 574 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 395 | $0.00 |
| 3014F | 0% | 16 | $0.00 | |
| 3074F | 0% | 477 | $0.00 | |
| 1123F | 0% | 45 | $0.00 | |
| 3079F | 0% | 46 | $0.00 | |
| 99024 | 0% | 17 | $0.00 | |
| 1101F | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 60,660 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28,715 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 3,271 | $0.00 |
| 4004F | 0% | 8,307 | $0.00 | |
| 3078F | 0% | 476 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 359 | $0.00 |
| 3046F | 0% | 45 | $0.00 | |
| 2022F | 0% | 140 | $0.00 | |
| 4040F | 0% | 59 | $0.00 | |
| 3045F | 0% | 13 | $0.00 | |
| 1090F | 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 officialHARDY, SHANE (CFO, MEDICAL GROUP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.