Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Saint Louis › NPI 1952810129
Physician

Mercy Clinic Maternal Fetal Medicine LLC

Mercy Clinic Maternal Fetal Medicine LLC was paid $2.68M by Medicaid between Oct 2019 and Dec 2024, across 17 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 32% of everything it billed.

33Billing provider infoMERCY CLINIC MATERNAL FETAL MEDICINE LLC
SAINT LOUIS, MO 63141
33aNPI1952810129assigned 09/20/2017
28Total paid$2.68M
24GClaims78,547
24DCodes billed17
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Missouri

Rank by total paid#2 of 36
Median peer was paid$89K
This provider vs. median30×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201915$198.69
20206,169$207K
202117,796$598K
202218,949$604K
202320,347$722K
2024incomplete15,271$552K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 32% 24,281 23,355 $860K
59025 Fetal non-stress test 21% 18,859 14,381 $560K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 17% 16,818 14,215 $453K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 11% 7,181 7,040 $299K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 9.0% 3,149 3,070 $243K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.3% 2,920 2,790 $88K
76820 2.8% 3,645 2,959 $76K
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 1.3% 345 318 $35K
76801 1.1% 761 728 $29K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 118 103 $20K
76819 Fetal biophysical profile; without non-stress testing <1% 170 139 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 118 103 $5K
5 more codes
99232 Hospital visit by a doctor, follow-up day <1% 94 $5K
99205 Prolong outpt/office vis <1% 16 $3K
76818 <1% 48 $3K
76830 Ultrasound, transvaginal <1% 12 $430.57
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 12 $371.84

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 officialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent organizationMERCY CLINIC EAST COMMUNITIES
Same official

Other billing entities under DUNGER, KERRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.