Behavioral
Mercy Health Services, INC.
Mercy Health Services, INC. was paid $9.01M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoMERCY HEALTH SERVICES, INC.
FRANKLIN, TN 37064
FRANKLIN, TN 37064
33aNPI1952480501assigned 11/03/2006
33bProvider typeProfessional Counselor
28Total paid$9.01M
24GClaims301,448
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Tennessee
Rank by total paid#2 of 87
Median peer was paid$30K
This provider vs. median297×
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 | 32,374 | $892K | |
| 2019 | 46,363 | $1.22M | |
| 2020 | 41,070 | $1.16M | |
| 2021 | 47,849 | $1.37M | |
| 2022 | 48,918 | $1.48M | |
| 2023 | 47,406 | $1.51M | |
| 2024incomplete | 37,468 | $1.37M |
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 | 21% | 45,195 | 38,843 | $1.85M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 19% | 41,312 | 20,528 | $1.76M |
| 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 | 15% | 26,204 | 22,876 | $1.33M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.4% | 26,439 | 12,477 | $844K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 18,776 | 16,087 | $690K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 5,401 | 4,807 | $363K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 5,355 | 4,795 | $355K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 17,069 | 14,506 | $302K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 4,031 | 3,436 | $297K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 4,323 | 3,713 | $248K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 2,796 | 2,657 | $177K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,049 | 1,758 | $80K |
77 more codes
| 99490 | Ccm add 20min | <1% | 2,948 | $79K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,883 | $72K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 885 | $70K |
| 99174 | <1% | 3,686 | $54K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 603 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,606 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,013 | $32K |
| 99173 | <1% | 7,676 | $32K | |
| 96127 | <1% | 11,499 | $31K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 383 | $23K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 368 | $21K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,117 | $18K |
| 90686 | <1% | 5,168 | $14K | |
| 3008F | <1% | 4,250 | $13K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 506 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 303 | $12K |
| 90651 | <1% | 1,143 | $12K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 135 | $11K |
| 80061 | Lipid panel | <1% | 1,248 | $11K |
| 92558 | <1% | 3,726 | $11K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 192 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,875 | $8K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 133 | $8K |
| 99381 | <1% | 121 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,138 | $7K |
| 90461 | <1% | 3,509 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 521 | $4K |
| 96161 | <1% | 730 | $4K | |
| 36416 | <1% | 3,251 | $4K | |
| 90734 | <1% | 514 | $3K | |
| 99177 | <1% | 673 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 200 | $3K |
| 99383 | <1% | 40 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 193 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 878 | $2K |
| 90621 | <1% | 270 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 30 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 502 | $2K |
| 87807 | <1% | 238 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 269 | $2K |
| 99496 | <1% | 14 | $2K | |
| 90688 | <1% | 2,075 | $2K | |
| 90670 | <1% | 2,330 | $2K | |
| 90785 | <1% | 385 | $1K | |
| 94760 | <1% | 1,069 | $1K | |
| 90715 | <1% | 310 | $1K | |
| 90716 | <1% | 356 | $1K | |
| 81025 | <1% | 270 | $1K | |
| 90677 | <1% | 318 | $1K | |
| 85018 | <1% | 416 | $808.31 | |
| 96160 | <1% | 169 | $754.68 | |
| 90707 | <1% | 395 | $682.06 | |
| 90710 | <1% | 342 | $448.15 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $431.23 |
| 90723 | <1% | 1,051 | $426.37 | |
| 81002 | <1% | 181 | $366.98 | |
| 90633 | <1% | 894 | $357.97 | |
| 90680 | <1% | 1,488 | $325.90 | |
| 81003 | <1% | 204 | $301.19 | |
| 90697 | <1% | 616 | $288.20 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 23 | $187.08 |
| 90619 | <1% | 295 | $182.76 | |
| 90648 | <1% | 1,927 | $158.60 | |
| 90700 | <1% | 446 | $127.24 | |
| 90713 | <1% | 40 | $86.20 | |
| 90696 | <1% | 112 | $67.82 | |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $64.81 |
| 90674 | <1% | 337 | $28.78 | |
| 3725F | 0% | 1,154 | $0.00 | |
| 99072 | 0% | 3,345 | $0.00 | |
| 90687 | 0% | 56 | $0.00 | |
| 90671 | 0% | 346 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90661 | 0% | 133 | $0.00 | |
| 1000F | 0% | 784 | $0.00 | |
| 1036F | 0% | 99 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 50 | $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 officialSIZEMORE, RHONDA (CHIEF FINANCIAL OFFICER)