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

Mercy Clinic Children's Respiratory and Sleep Medicine, LLC

Mercy Clinic Children's Respiratory and Sleep Medicine, LLC was paid $572K by Medicaid between Jun 2020 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoMERCY CLINIC CHILDREN'S RESPIRATORY AND SLEEP MEDICINE, LLC
SAINT LOUIS, MO 63141
33aNPI1972532620assigned 07/02/2006
28Total paid$572K
24GClaims6,189
24DCodes billed12
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers

Next to other Pediatric Pulmonology Physician providers in Missouri

Rank by total paid#1 of 17
Median peer was paid$51K
This provider vs. median11×

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 DUNGER, KERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2020815$42K
20211,609$109K
20221,396$135K
20231,230$151K
2024incomplete1,139$134K
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 57% 3,390 3,341 $324K
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 28% 1,091 1,085 $159K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.1% 172 172 $29K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.6% 250 102 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 159 158 $13K
99254 1.6% 69 67 $9K
94010 1.2% 590 584 $7K
94060 <1% 306 306 $4K
99223 Prolong inpt eval add15 m <1% 21 17 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 13 13 $2K
95012 <1% 56 56 $896.24
90686 <1% 72 72 $534.18

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 officialDUNGER, KERRY (EXECUTIVE DIRECTOR - FINANCE)
Parent organizationMERCY CLINIC EAST COMMUNITIES
Same official

Other billing entities under DUNGER, KERRY

Full network →

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