Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › LORAIN › MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC

MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC

NPI: 1972126381 · LORAIN, OH 44053 · Urology Physician · NPI assigned 05/20/2020

$4.76M
Total Medicaid Paid
408,740
Total Claims
342,127
Beneficiaries
131
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDACRE, OLIVIA (CFO, MEDICAL GROUP)
NPI Enumeration Date05/20/2020

Related Entities

Other providers sharing the same authorized official: DACRE, OLIVIA

ProviderCityStateTotal Paid
MERCY HEALTH PHYSICIANS LORAIN, LLC LORAIN OH $12.45M
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH $11.81M
MERCY MEDICAL PARTNERS NORTHERN REGION LLC DEFIANCE OH $2.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 147,205 $1.69M
2023 146,934 $1.70M
2024 114,601 $1.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,293 27,251 $1.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,912 21,965 $1.11M
99232 Subsequent hospital care, per day, moderate complexity 17,668 6,925 $374K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,459 2,302 $172K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,767 1,000 $148K
99223 Prolong inpt eval add15 m 1,894 1,729 $126K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,854 2,635 $125K
99233 Prolong inpt eval add15 m 3,661 1,727 $108K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,036 11,423 $92K
99239 Hospital discharge day management, more than 30 minutes 2,069 1,844 $75K
J1050 Injection, medroxyprogesterone acetate, 1 mg 834 759 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,963 1,571 $74K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,840 1,750 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 718 650 $69K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,741 2,617 $58K
99215 Prolong outpt/office vis 797 699 $56K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 260 218 $49K
99222 Initial hospital care, per day, moderate complexity 1,211 1,077 $48K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,927 1,592 $45K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 673 611 $41K
59025 Fetal non-stress test 1,985 1,379 $40K
90832 Psychotherapy, 30 minutes with patient 1,059 817 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,201 1,056 $36K
97803 1,069 963 $29K
99205 Prolong outpt/office vis 300 273 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,328 1,818 $28K
99308 Subsequent nursing facility care, per day, straightforward 2,833 1,765 $27K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 39 37 $24K
93000 2,287 2,102 $24K
90792 Psychiatric diagnostic evaluation with medical services 364 341 $23K
95886 513 452 $21K
95911 220 187 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,469 815 $20K
H1000 Prenatal care, at-risk assessment 275 233 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 186 165 $18K
36573 343 309 $17K
90791 Psychiatric diagnostic evaluation 182 163 $16K
81025 2,490 2,239 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,012 887 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 154 151 $9K
83036 Hemoglobin; glycosylated (A1C) 1,878 1,713 $9K
59514 17 12 $8K
82962 4,797 4,378 $8K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,046 768 $8K
99254 110 97 $7K
95816 287 249 $7K
20610 236 174 $7K
20611 151 131 $7K
99305 311 284 $6K
97802 88 82 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 66 63 $5K
95251 227 216 $4K
J1071 Injection, testosterone cypionate, 1 mg 768 405 $4K
95913 26 26 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 573 444 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 206 94 $3K
99442 187 171 $3K
11721 218 212 $3K
99244 Office or other outpatient consultation, moderate to high complexity 41 37 $3K
76942 82 78 $3K
99255 24 24 $2K
93458 16 12 $2K
93018 198 187 $2K
20553 231 218 $2K
99422 84 76 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 31 $2K
77002 41 24 $2K
49083 20 13 $1K
99384 19 19 $1K
99152 188 144 $1K
59430 16 12 $1K
94060 145 133 $1K
94729 274 249 $963.60
94726 259 234 $944.28
99238 Hospital discharge day management, 30 minutes or less 36 34 $899.12
99243 18 14 $890.87
99383 12 12 $830.73
99231 Subsequent hospital care, per day, straightforward or low complexity 57 27 $818.87
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $734.58
54150 12 12 $699.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 606 519 $689.05
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 18 $663.76
91200 54 53 $631.38
99423 16 14 $620.09
90651 25 25 $597.42
99283 Emergency department visit for the evaluation and management, moderate severity 15 14 $522.62
83037 84 79 $511.32
64445 13 13 $505.35
99221 13 12 $429.13
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 15 15 $409.92
90734 18 18 $395.61
73564 52 37 $366.86
99443 41 40 $353.37
99310 Prolong nursin fac eval 15m 23 17 $337.61
99349 14 12 $264.64
90686 13 13 $255.00
90715 16 16 $250.36
81003 180 165 $233.18
80305 24 12 $218.88
36415 Collection of venous blood by venipuncture 76 71 $168.24
99497 13 12 $144.63
51798 14 13 $117.73
99173 44 44 $104.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 13 $8.05
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 60,903 53,656 $0.10
3078F 5,646 5,259 $0.02
3074F 5,533 5,147 $0.02
2022F 4,445 4,072 $0.01
1123F 7,691 5,740 $0.01
1090F 716 665 $0.00
G8484 Influenza immunization was not administered, reason not given 36,911 30,692 $0.00
4004F 13,949 12,260 $0.00
3051F 720 672 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 39,508 35,071 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 66 63 $0.00
3023F 1,571 1,480 $0.00
G8482 Influenza immunization administered or previously received 327 311 $0.00
4040F 172 168 $0.00
3046F 1,580 1,426 $0.00
3077F 58 53 $0.00
G8421 Bmi not documented and no reason is given 24 20 $0.00
3017F 18,726 17,285 $0.00
3044F 1,334 1,235 $0.00
1036F 41,054 35,492 $0.00
3079F 755 692 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,155 2,721 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 6,919 5,138 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 3,467 2,891 $0.00
3075F 331 309 $0.00
3052F 491 449 $0.00
99024 392 296 $0.00