Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mercy Management of Southeastern Pennsylvania

Mercy Management of Southeastern Pennsylvania was paid $1.49M by Medicaid between Jan 2018 and Jan 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoMERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
DARBY, PA 19023
33aNPI1952828550assigned 08/24/2017
28Total paid$1.49M
24GClaims59,972
24DCodes billed27
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in Pennsylvania

Rank by total paid#5 of 71
Median peer was paid$5K
This provider vs. median308×

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 POWAR, AMIT controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20187,831$26K
2019320$2K
20204,865$91K
202115,678$425K
202214,744$455K
202315,785$470K
2024incomplete749$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 8,328 8,092 $461K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20% 32,838 28,764 $295K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17% 3,875 3,782 $253K
93000 13% 10,086 9,875 $198K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.2% 1,650 811 $122K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.8% 328 321 $42K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 741 717 $33K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 457 440 $27K
99223 Prolong inpt eval add15 m 1.8% 181 173 $27K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.1% 356 178 $16K
99222 Initial hospital care, per day, moderate complexity <1% 66 62 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 50 49 $3K
15 more codes
99152 <1% 218 $3K
99255 <1% 12 $1K
76937 <1% 43 $664.77
93325 <1% 86 $648.15
93298 <1% 15 $480.93
93308 <1% 12 $223.09
93321 <1% 12 $105.35
3008F 0% 147 $0.00
3074F 0% 64 $0.00
3079F 0% 12 $0.00
1036F 0% 196 $0.00
1159F 0% 66 $0.00
3078F 0% 42 $0.00
1160F 0% 79 $0.00
3725F 0% 12 $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 officialPOWAR, AMIT (PRESIDENT, MEDICAL GROUP)
Same official

Other billing entities under POWAR, AMIT

Full network →

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