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MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Family Medicine·CINCINNATI, OH·NPI: 1205887023Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.0M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.0M

$28,013,274

Total Claims

2.2M

Beneficiaries

2.0M

1.1 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$5.1M
+9%
2019
$5.5M
-8%
2020
$5.1M
+2%
2021
$5.2M
-47%
2022
$2.7M
-8%
2023
$2.5M
-21%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 46% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$12.9M

257K claims · 46.1%

Your Cost: $50.35/claim|Median: $53.41
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6.4M

183K claims · 22.9%

Your Cost: $35.12/claim|Median: $37.81
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$790K

127K claims · 2.8%

Your Cost: $6.20/claim|Median: $5.60
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$713K

25K claims · 2.5%

Your Cost: $28.24/claim|Median: $35.30
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$661K

17K claims · 2.4%

Your Cost: $39.82/claim|Median: $54.68
0.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$505K

7,199 claims · 1.8%

Your Cost: $70.10/claim|Median: $84.03
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$496K

11K claims · 1.8%

Your Cost: $46.53/claim|Median: $57.85
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$456K

31K claims · 1.6%

Your Cost: $14.56/claim|Median: $17.85
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$389K

21K claims · 1.4%

Your Cost: $18.10/claim|Median: $23.99
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$372K

10K claims · 1.3%

Your Cost: $36.73/claim|Median: $41.28
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$259K

5,178 claims · 0.9%

Your Cost: $50.03/claim|Median: $67.32
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$222K

5,172 claims · 0.8%

Your Cost: $42.93/claim|Median: $101.24
0.4× median
99255Normal range

$221K

2,475 claims · 0.8%

Your Cost: $89.21/claim|Median: $90.45
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$186K

3,234 claims · 0.7%

Your Cost: $57.45/claim|Median: $75.18
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$176K

5,242 claims · 0.6%

Your Cost: $33.64/claim|Median: $29.03
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$168K

2,626 claims · 0.6%

Your Cost: $63.97/claim|Median: $74.09
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$149K

2,480 claims · 0.5%

Your Cost: $59.91/claim|Median: $106.14
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$145K

12K claims · 0.5%

Your Cost: $12.40/claim|Median: $12.93
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$139K

2,741 claims · 0.5%

Your Cost: $50.76/claim|Median: $69.35
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$113K

1,281 claims · 0.4%

Your Cost: $87.85/claim|Median: $99.21
0.9× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$104K

6,793 claims · 0.4%

Your Cost: $15.34/claim|Median: $9.80
1.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$97K

1,672 claims · 0.3%

Your Cost: $58.02/claim|Median: $233.73
0.2× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$89K

1,434 claims · 0.3%

Your Cost: $61.93/claim|Median: $255.03
0.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$88K

2,528 claims · 0.3%

Your Cost: $34.73/claim|Median: $43.85
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$79K

6,722 claims · 0.3%

Your Cost: $11.69/claim|Median: $7.18
1.6× median
95886Normal range

$77K

2,142 claims · 0.3%

Your Cost: $36.07/claim|Median: $67.70
0.5× median
90674Normal range

$74K

3,373 claims · 0.3%

Your Cost: $21.95/claim|Median: $15.16
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$73K

1,449 claims · 0.3%

Your Cost: $50.35/claim|Median: $82.43
0.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$71K

6,618 claims · 0.3%

Your Cost: $10.79/claim|Median: $9.70
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$67K

592 claims · 0.2%

Your Cost: $114.02/claim|Median: $151.68
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$67K

3,141 claims · 0.2%

Your Cost: $21.27/claim|Median: $25.06
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$65K

1,157 claims · 0.2%

Your Cost: $56.25/claim|Median: $74.82
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$58K

612 claims · 0.2%

Your Cost: $94.69/claim|Median: $111.09
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$58K

742 claims · 0.2%

Your Cost: $77.81/claim|Median: $121.58
0.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$48K

1,157 claims · 0.2%

Your Cost: $41.40/claim|Median: $33.72
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$45K

678 claims · 0.2%

Your Cost: $67.00/claim|Median: $76.06
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$45K

629 claims · 0.2%

Your Cost: $71.22/claim|Median: $76.22
0.9× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$43K

2,801 claims · 0.2%

Your Cost: $15.49/claim|Median: $25.43
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$40K

1,045 claims · 0.1%

Your Cost: $38.50/claim|Median: $36.70
1.0× median
93016Normal range

$36K

2,472 claims · 0.1%

Your Cost: $14.67/claim|Median: $12.24
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$33K

17K claims · 0.1%

Your Cost: $1.91/claim|Median: $1.57
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$33K

5,947 claims · 0.1%

Your Cost: $5.48/claim|Median: $5.50
1.0× median
43775Normal range

$31K

51 claims · 0.1%

Your Cost: $602.47/claim|Median: $619.12
1.0× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$30K

841 claims · 0.1%

Your Cost: $35.64/claim|Median: $25.93
1.4× median
64721Normal range

$30K

167 claims · 0.1%

Your Cost: $179.21/claim|Median: $327.41
0.5× median
73610Normal range

X-ray of ankle, complete, minimum three views

$29K

1,808 claims · 0.1%

Your Cost: $16.12/claim|Median: $13.55
1.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$29K

757 claims · 0.1%

Your Cost: $38.02/claim|Median: $33.85
1.1× median
93298Normal range

$29K

1,656 claims · 0.1%

Your Cost: $17.22/claim|Median: $14.28
1.2× median
95911Normal range

$28K

291 claims · 0.1%

Your Cost: $97.88/claim|Median: $122.86
0.8× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$28K

2,817 claims · 0.1%

Your Cost: $10.07/claim|Median: $10.24
1.0× median

Other Top Providers in Ohio

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The Cleveland Clinic Foundation

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$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

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$556.6M

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