Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY CLINIC CHILDREN'S RESPIRATORY AND SLEEP MEDICINE, LLC

NPI: 1972532620 · SAINT LOUIS, MO 63141 · Pediatric Pulmonology Physician · NPI assigned 07/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNGER, KERRY controls 20+ related entities in our dataset. Read more

$572K
Total Medicaid Paid
6,189
Total Claims
5,973
Beneficiaries
12
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent OrganizationMERCY CLINIC EAST COMMUNITIES
NPI Enumeration Date07/02/2006

Related Entities

Other providers sharing the same authorized official: DUNGER, KERRY

ProviderCityStateTotal Paid
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $22.20M
ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C. SAINT LOUIS MO $4.15M
MERCY CLINIC ADULT HOSPITALISTS- JEFFERSON, LLC FESTUS MO $3.20M
MERCY CLINIC HEART AND VASCULAR, LLC SAINT LOUIS MO $3.11M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.96M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $2.82M
MERCY CLINIC MATERNAL FETAL MEDICINE LLC SAINT LOUIS MO $2.68M
MERCY CLINIC ADULT HOSPITALISTS - ST. LOUIS, LLC SAINT LOUIS MO $2.49M
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC SAINT LOUIS MO $2.08M
MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO $1.58M
MERCY CLINIC ADULT PSYCHIATRY, LLC FESTUS MO $1.29M
MERCY CLINIC ONCOLOGY, LLC WASHINGTON MO $1.29M
MERCY CLINIC KIDS GI, LLC SAINT LOUIS MO $1.12M
MERCY EAST SUPPORT SERVICES, LLC SAINT LOUIS MO $1.08M
MERCY CLINIC CHILDREN'S HEART CENTER, LLC ST LOUIS MO $1.00M
MERCY CLINIC CHILDREN'S SURGERY, LLC ST. LOUIS MO $829K
MERCY CLINIC SURGICAL SPECIALISTS, LLC WASHINGTON MO $824K
MERCY CLINIC EAST COMMUNITIES SULLIVAN MO $791K
MERCY CLINIC NEUROLOGY, LLC SAINT LOUIS MO $784K
MERCY WOMENS SERVICES LLC SAINT LOUIS MO $783K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 815 $42K
2021 1,609 $109K
2022 1,396 $135K
2023 1,230 $151K
2024 1,139 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,390 3,341 $324K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,091 1,085 $159K
99215 Prolong outpt/office vis 172 172 $29K
99233 Prolong inpt eval add15 m 250 102 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 159 158 $13K
99254 69 67 $9K
94010 590 584 $7K
94060 306 306 $4K
99223 Prolong inpt eval add15 m 21 17 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 13 $2K
95012 56 56 $896.24
90686 72 72 $534.18