Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › FRANKLIN › MERCY HEALTH SERVICES, INC.

MERCY HEALTH SERVICES, INC.

NPI: 1952480501 · FRANKLIN, TN 37064 · Professional Counselor · NPI assigned 11/03/2006

$9.01M
Total Medicaid Paid
301,448
Total Claims
228,327
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIZEMORE, RHONDA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 37,468 $1.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,195 38,843 $1.85M
90834 Psychotherapy, 45 minutes with patient 41,312 20,528 $1.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,204 22,876 $1.33M
90832 Psychotherapy, 30 minutes with patient 26,439 12,477 $844K
90460 Immunization administration through 18 years of age via any route, first or only component 18,776 16,087 $690K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,401 4,807 $363K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,355 4,795 $355K
96110 Developmental screening, with scoring and documentation, per standardized instrument 17,069 14,506 $302K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,031 3,436 $297K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,323 3,713 $248K
90791 Psychiatric diagnostic evaluation 2,796 2,657 $177K
90853 Group psychotherapy (other than of a multiple-family group) 4,049 1,758 $80K
99490 Ccm add 20min 2,948 2,709 $79K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,883 3,512 $72K
90792 Psychiatric diagnostic evaluation with medical services 885 829 $70K
99174 3,686 3,387 $54K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 603 540 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,606 1,436 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,013 3,477 $32K
99173 7,676 6,540 $32K
96127 11,499 8,645 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 383 351 $23K
99215 Prolong outpt/office vis 368 350 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,117 918 $18K
90686 5,168 4,517 $14K
3008F 4,250 3,429 $13K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 506 405 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 303 248 $12K
90651 1,143 973 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 135 125 $11K
80061 Lipid panel 1,248 972 $11K
92558 3,726 3,360 $11K
90846 Family psychotherapy without the patient present, 50 minutes 192 161 $10K
36415 Collection of venous blood by venipuncture 5,875 4,712 $8K
90847 Family psychotherapy with the patient present, 50 minutes 133 104 $8K
99381 121 98 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,138 970 $7K
90461 3,509 3,121 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 521 446 $4K
96161 730 623 $4K
36416 3,251 2,699 $4K
90734 514 446 $3K
99177 673 537 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 200 174 $3K
99383 40 27 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 193 176 $2K
83036 Hemoglobin; glycosylated (A1C) 878 644 $2K
90621 270 241 $2K
90837 Psychotherapy, 53 minutes with patient 30 25 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 502 457 $2K
87807 238 213 $2K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 269 233 $2K
99496 14 13 $2K
90688 2,075 1,816 $2K
90670 2,330 2,121 $2K
90785 385 127 $1K
94760 1,069 876 $1K
90715 310 262 $1K
90716 356 327 $1K
81025 270 218 $1K
90677 318 254 $1K
85018 416 383 $808.31
96160 169 141 $754.68
90707 395 359 $682.06
90710 342 312 $448.15
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $431.23
90723 1,051 962 $426.37
81002 181 162 $366.98
90633 894 806 $357.97
90680 1,488 1,264 $325.90
81003 204 172 $301.19
90697 616 508 $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 23 17 $187.08
90619 295 218 $182.76
90648 1,927 1,769 $158.60
90700 446 420 $127.24
90713 40 36 $86.20
90696 112 100 $67.82
G0008 Administration of influenza virus vaccine 17 15 $64.81
90674 337 321 $28.78
3725F 1,154 926 $0.00
99072 3,345 2,891 $0.00
90687 56 52 $0.00
90671 346 249 $0.00
90685 13 12 $0.00
90661 133 132 $0.00
1000F 784 646 $0.00
1036F 99 68 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 50 47 $0.00