Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY CLINIC HEART AND VASCULAR, LLC

NPI: 1932176401 · SAINT LOUIS, MO 63141 · Cardiovascular Disease Physician · NPI assigned 03/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more

$3.11M
Total Medicaid Paid
164,984
Total Claims
149,961
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY CLINIC EAST COMMUNITIES
NPI Enumeration Date03/03/2006

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

ProviderCityStateTotal Paid
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $22.20M
ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C. SAINT LOUIS MO $4.15M
MERCY CLINIC ADULT HOSPITALISTS- JEFFERSON, LLC FESTUS MO $3.20M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.96M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.82M
MERCY CLINIC MATERNAL FETAL MEDICINE LLC SAINT LOUIS MO $2.68M
MERCY CLINIC ADULT HOSPITALISTS - ST. LOUIS, LLC SAINT LOUIS MO $2.49M
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC SAINT LOUIS MO $2.08M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $1.58M
MERCY CLINIC ADULT PSYCHIATRY, LLC FESTUS MO $1.29M
MERCY CLINIC ONCOLOGY, LLC WASHINGTON MO $1.29M
MERCY CLINIC KIDS GI, LLC SAINT LOUIS MO $1.12M
MERCY EAST SUPPORT SERVICES, LLC SAINT LOUIS MO $1.08M
MERCY CLINIC CHILDREN'S HEART CENTER, LLC ST LOUIS MO $1.00M
MERCY CLINIC CHILDREN'S SURGERY, LLC ST. LOUIS MO $829K
MERCY CLINIC SURGICAL SPECIALISTS, LLC WASHINGTON MO $824K
MERCY CLINIC EAST COMMUNITIES SULLIVAN MO $791K
MERCY CLINIC NEUROLOGY, LLC SAINT LOUIS MO $784K
MERCY WOMENS SERVICES LLC SAINT LOUIS MO $783K
MERCY CLINIC ADULT CRITICAL CARE, LLC SAINT LOUIS MO $747K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,076 $146K
2019 14,401 $163K
2020 17,381 $201K
2021 24,314 $356K
2022 27,927 $526K
2023 36,798 $935K
2024 32,087 $780K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,992 30,379 $1.59M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17,691 17,085 $724K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 99,274 88,683 $444K
99232 Subsequent hospital care, per day, moderate complexity 3,048 1,309 $94K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 539 519 $57K
93296 3,334 3,248 $34K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 537 505 $30K
93000 2,546 2,487 $30K
93295 1,098 1,066 $23K
93294 1,478 1,448 $15K
93298 1,052 1,008 $14K
93299 224 207 $10K
93016 554 526 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 146 141 $6K
93018 444 425 $5K
99233 Prolong inpt eval add15 m 78 33 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 83 79 $3K
99222 Initial hospital care, per day, moderate complexity 43 38 $3K
93458 15 15 $3K
99152 85 75 $2K
93272 150 147 $2K
93880 89 87 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $1K
93925 57 57 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 61 36 $1K
99215 Prolong outpt/office vis 12 12 $671.53
93227 25 24 $631.81
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) 267 261 $471.91
93970 12 12 $333.85
93280 12 12 $267.85
93971 12 12 $143.44
93325 12 12 $42.61