Physician
Mercy Health Physicians Lorain Specialty Care LLC
Mercy Health Physicians Lorain Specialty Care LLC was paid $4.76M by Medicaid between Jan 2022 and Dec 2024, across 131 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
LORAIN, OH 44053
LORAIN, OH 44053
33aNPI1972126381assigned 05/20/2020
33bProvider typeUrology Physician
28Total paid$4.76M
24GClaims408,740
24DCodes billed131
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Ohio
Rank by total paid#1 of 41
Median peer was paid$6K
This provider vs. median777×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 147,205 | $1.69M | |
| 2023 | 146,934 | $1.70M | |
| 2024incomplete | 114,601 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 32,293 | 27,251 | $1.24M |
| 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 | 23% | 23,912 | 21,965 | $1.11M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 17,668 | 6,925 | $374K |
| 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 | 3.6% | 2,459 | 2,302 | $172K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.1% | 2,767 | 1,000 | $148K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 1,894 | 1,729 | $126K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 2,854 | 2,635 | $125K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 3,661 | 1,727 | $108K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 14,036 | 11,423 | $92K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6% | 2,069 | 1,844 | $75K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.6% | 834 | 759 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,963 | 1,571 | $74K |
119 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 1,840 | $69K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.4% | 718 | $69K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.2% | 3,741 | $58K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 797 | $56K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.0% | 260 | $49K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 1,211 | $48K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,927 | $45K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 673 | $41K |
| 59025 | Fetal non-stress test | <1% | 1,985 | $40K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,059 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,201 | $36K |
| 97803 | <1% | 1,069 | $29K | |
| 99205 | Prolong outpt/office vis | <1% | 300 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,328 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,833 | $27K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 39 | $24K |
| 93000 | <1% | 2,287 | $24K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 364 | $23K |
| 95886 | <1% | 513 | $21K | |
| 95911 | <1% | 220 | $21K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,469 | $20K |
| H1000 | Prenatal care, at-risk assessment | <1% | 275 | $20K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 186 | $18K |
| 36573 | <1% | 343 | $17K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 182 | $16K |
| 81025 | <1% | 2,490 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,012 | $11K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 154 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,878 | $9K |
| 59514 | <1% | 17 | $8K | |
| 82962 | <1% | 4,797 | $8K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,046 | $8K |
| 99254 | <1% | 110 | $7K | |
| 95816 | <1% | 287 | $7K | |
| 20610 | <1% | 236 | $7K | |
| 20611 | <1% | 151 | $7K | |
| 99305 | <1% | 311 | $6K | |
| 97802 | <1% | 88 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 66 | $5K |
| 95251 | <1% | 227 | $4K | |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 768 | $4K |
| 95913 | <1% | 26 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 573 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 206 | $3K |
| 99442 | <1% | 187 | $3K | |
| 11721 | <1% | 218 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 41 | $3K |
| 76942 | <1% | 82 | $3K | |
| 99255 | <1% | 24 | $2K | |
| 93458 | <1% | 16 | $2K | |
| 93018 | <1% | 198 | $2K | |
| 20553 | <1% | 231 | $2K | |
| 99422 | <1% | 84 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $2K |
| 77002 | <1% | 41 | $2K | |
| 49083 | <1% | 20 | $1K | |
| 99384 | <1% | 19 | $1K | |
| 99152 | <1% | 188 | $1K | |
| 59430 | <1% | 16 | $1K | |
| 94060 | <1% | 145 | $1K | |
| 94729 | <1% | 274 | $963.60 | |
| 94726 | <1% | 259 | $944.28 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 36 | $899.12 |
| 99243 | <1% | 18 | $890.87 | |
| 99383 | <1% | 12 | $830.73 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 57 | $818.87 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $734.58 |
| 54150 | <1% | 12 | $699.94 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 606 | $689.05 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $663.76 |
| 91200 | <1% | 54 | $631.38 | |
| 99423 | <1% | 16 | $620.09 | |
| 90651 | <1% | 25 | $597.42 | |
| 99283 | Emergency room visit (moderate) | <1% | 15 | $522.62 |
| 83037 | <1% | 84 | $511.32 | |
| 64445 | <1% | 13 | $505.35 | |
| 99221 | <1% | 13 | $429.13 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $409.92 |
| 90734 | <1% | 18 | $395.61 | |
| 73564 | <1% | 52 | $366.86 | |
| 99443 | <1% | 41 | $353.37 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 23 | $337.61 |
| 99349 | <1% | 14 | $264.64 | |
| 90686 | <1% | 13 | $255.00 | |
| 90715 | <1% | 16 | $250.36 | |
| 81003 | <1% | 180 | $233.18 | |
| 80305 | <1% | 24 | $218.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 76 | $168.24 |
| 99497 | <1% | 13 | $144.63 | |
| 51798 | <1% | 14 | $117.73 | |
| 99173 | <1% | 44 | $104.27 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $8.05 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 60,903 | $0.10 |
| 3078F | <1% | 5,646 | $0.02 | |
| 3074F | <1% | 5,533 | $0.02 | |
| 2022F | <1% | 4,445 | $0.01 | |
| 1123F | <1% | 7,691 | $0.01 | |
| 1090F | 0% | 716 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 36,911 | $0.00 |
| 4004F | 0% | 13,949 | $0.00 | |
| 3051F | 0% | 720 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 39,508 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 66 | $0.00 |
| 3023F | 0% | 1,571 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 327 | $0.00 |
| 4040F | 0% | 172 | $0.00 | |
| 3046F | 0% | 1,580 | $0.00 | |
| 3077F | 0% | 58 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 24 | $0.00 |
| 3017F | 0% | 18,726 | $0.00 | |
| 3044F | 0% | 1,334 | $0.00 | |
| 1036F | 0% | 41,054 | $0.00 | |
| 3079F | 0% | 755 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,155 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 6,919 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 3,467 | $0.00 |
| 3075F | 0% | 331 | $0.00 | |
| 3052F | 0% | 491 | $0.00 | |
| 99024 | 0% | 392 | $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 officialDACRE, OLIVIA (CFO, MEDICAL GROUP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.