Mercy Management of Southeastern Pennsylvania
Mercy Management of Southeastern Pennsylvania was paid $2.19M by Medicaid between Jan 2018 and Jan 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.
DARBY, PA 19023
Next to other Internal Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,832 | $13K | |
| 2020 | 2,499 | $72K | |
| 2021 | 9,199 | $449K | |
| 2022 | 8,324 | $672K | |
| 2023 | 10,391 | $938K | |
| 2024incomplete | 524 | $44K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 56% | 25,938 | 10,189 | $1.23M |
| 99223 | Prolong inpt eval add15 m | 35% | 5,300 | 5,048 | $770K |
| 99220 | 4.1% | 827 | 798 | $89K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 627 | 315 | $62K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 187 | 169 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 116 | 104 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 461 | 433 | $8K |
| 99219 | <1% | 148 | 145 | $7K | |
| 99225 | <1% | 96 | 72 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 27 | 14 | $840.36 |
| 99217 | <1% | 42 | 42 | $726.12 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nazareth Physician Services, INC | Philadelphia, PA | $2.91M |
| Nazareth Physician Services, INC. | Philadelphia, PA | $1.79M |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $1.49M |
| Nazareth Physician Services, INC. | Phila, PA | $778K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $499K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $434K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $396K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $354K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $171K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $154K |
| Mercy Management of Southeastern Pennsylvania | Darby, PA | $139K |
| Nazareth Physician Services, INC. | Phila, PA | $100K |
| Nazareth Physician Services, INC | Philadelphia, PA | $61K |
| Nazareth Physician Services, INC. | Philadelphia, PA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.