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Mercy Health - St Vincent Medical Center LLC

Ambulance, Land Transport·Toledo, OH·NPI: 1467493551Share

Compared to Ambulance, Land Transport Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $132.9M is at the 50th percentile among 11 Ambulance, Land Transport providers.

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

Total Paid

$132.9M

$132,929,641

Total Claims

3.0M

Beneficiaries

2.2M

1.4 claims/patient

Avg Cost/Claim

$44

#862 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Mercy Health - St Vincent Medical Center LLC is a Ambulance, Land Transport provider based in Toledo, OH. From the 2018–2024 period, this provider received $132.9M in Medicaid payments across 3.0M claims.

Why This Matters

This provider received $132.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,616 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 221% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$9.8M
-0%
2019
$9.8M
+2%
2020
$10.0M
+4%
2021
$10.5M
+48%
2022
$15.5M
+195%
2023
$45.6M
-31%
2024
$31.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 13% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$16.9M

132K claims · 12.7%

Your Cost: $128.44/claim|Median: $42.48
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$16.2M

111K claims · 12.2%

Your Cost: $145.44/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$11.7M

72K claims · 8.8%

Your Cost: $163.59/claim|Median: $85.65
1.9× median
G0463Top 10%

Hospital outpatient clinic visit

$9.3M

102K claims · 7.0%

Your Cost: $91.28/claim|Median: $26.41
3.5× median
96361Top 5%

IV infusion, hydration, each additional hour

$5.9M

16K claims · 4.4%

Your Cost: $358.26/claim|Median: $38.92
9.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$5.4M

797 claims · 4.1%

Your Cost: $6,806.20/claim|Median: $5,391.55
1.3× median
70450Top 5%

CT head/brain without contrast

$4.5M

15K claims · 3.4%

Your Cost: $290.13/claim|Median: $45.53
6.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$4.1M

56K claims · 3.1%

Your Cost: $73.82/claim|Median: $24.49
3.0× median
99282Top 25%

Emergency dept visit, low complexity

$3.4M

30K claims · 2.6%

Your Cost: $114.28/claim|Median: $37.72
3.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.3M

12K claims · 2.5%

Your Cost: $278.02/claim|Median: $65.76
4.2× median
G0378Normal range

Hospital observation service, per hour

$2.5M

34K claims · 1.9%

Your Cost: $71.99/claim|Median: $99.39
0.7× median
96365Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.1M

14K claims · 1.6%

Your Cost: $153.94/claim|Median: $54.77
2.8× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$2.0M

7,681 claims · 1.5%

Your Cost: $264.85/claim|Median: $40.12
6.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.7M

3,701 claims · 1.3%

Your Cost: $451.58/claim|Median: $151.68
3.0× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.5M

5,075 claims · 1.1%

Your Cost: $292.50/claim|Median: $60.19
4.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$1.5M

11K claims · 1.1%

Your Cost: $137.90/claim|Median: $10.88
12.7× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$1.4M

11K claims · 1.1%

Your Cost: $132.58/claim|Median: $75.28
1.8× median
71260Top 25%

CT chest with contrast

$1.0M

6,174 claims · 0.8%

Your Cost: $164.73/claim|Median: $48.36
3.4× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$843K

2,005 claims · 0.6%

Your Cost: $420.65/claim|Median: $106.14
4.0× median
76819Top 10%

Fetal biophysical profile with non-stress test

$812K

8,182 claims · 0.6%

Your Cost: $99.19/claim|Median: $49.45
2.0× median
76820Top 5%

$793K

7,865 claims · 0.6%

Your Cost: $100.77/claim|Median: $31.79
3.2× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$764K

8,546 claims · 0.6%

Your Cost: $89.41/claim|Median: $47.65
1.9× median
90935Top 5%

Hemodialysis, one evaluation

$758K

2,456 claims · 0.6%

Your Cost: $308.76/claim|Median: $23.72
13.0× median
80053Normal range

Comprehensive metabolic panel

$694K

90K claims · 0.5%

Your Cost: $7.71/claim|Median: $7.24
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$667K

4,538 claims · 0.5%

Your Cost: $146.90/claim|Median: $106.79
1.4× median
45380Top 25%

Colonoscopy with biopsy

$662K

1,236 claims · 0.5%

Your Cost: $535.66/claim|Median: $200.68
2.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$661K

2,877 claims · 0.5%

Your Cost: $229.71/claim|Median: $54.68
4.2× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$648K

878 claims · 0.5%

Your Cost: $738.29/claim|Median: $233.73
3.2× median
97530Top 25%

Therapeutic activities, each 15 min

$620K

9,812 claims · 0.5%

Your Cost: $63.23/claim|Median: $33.11
1.9× median
80048Normal range

Basic metabolic panel

$583K

84K claims · 0.4%

Your Cost: $6.97/claim|Median: $5.78
1.2× median

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