Merkley, Heath

Merkley, Heath was paid $76K by Medicaid between Jan 2018 and Jun 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoMERKLEY, HEATH
JOPLIN, MO 64804

33aNPI1942430103assigned 07/22/2009

33bProvider typeObstetrics & Gynecology Physician

28Total paid$76K

24GClaims2,403

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Missouri

Rank by total paid#71 of 358

Median peer was paid$16K

This provider vs. median4.9×

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	543	$11K
2019	1,243	$35K
2020	617	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82%	1,091	796	$63K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	12%	13	13	$9K
81003		4.3%	1,207	801	$3K
81025		<1%	77	74	$683.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	15	$259.95

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.