Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

MERCY CLINIC EAST COMMUNITIES

Internal Medicine·SAINT LOUIS, MO·NPI: 1851335228Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.2M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$22.2M

$22,200,504

Total Claims

351K

Beneficiaries

329K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$141K
-26%
2019
$105K
+1136%
2020
$1.3M
+171%
2021
$3.5M
+34%
2022
$4.7M
+47%
2023
$7.0M
-21%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 40% of total spending.

99213Top 10%

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

$8.9M

124K claims · 40.1%

Your Cost: $71.96/claim|Median: $37.81
1.9× median
99214Top 25%

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

$4.9M

60K claims · 22.0%

Your Cost: $81.39/claim|Median: $53.41
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.6M

25K claims · 11.5%

Your Cost: $103.82/claim|Median: $69.35
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.9M

19K claims · 8.5%

Your Cost: $101.27/claim|Median: $75.18
1.3× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$822K

7,718 claims · 3.7%

Your Cost: $106.56/claim|Median: $74.82
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$493K

8,533 claims · 2.2%

Your Cost: $57.77/claim|Median: $25.06
2.3× median
90698Top 5%

$370K

10K claims · 1.7%

Your Cost: $36.87/claim|Median: $6.32
5.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$306K

2,824 claims · 1.4%

Your Cost: $108.53/claim|Median: $80.15
1.4× median
99204Top 25%

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

$166K

1,445 claims · 0.7%

Your Cost: $114.97/claim|Median: $84.03
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$156K

2,262 claims · 0.7%

Your Cost: $69.15/claim|Median: $58.55
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$134K

16K claims · 0.6%

Your Cost: $8.32/claim|Median: $7.18
1.2× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$124K

1,289 claims · 0.6%

Your Cost: $96.21/claim|Median: $58.16
1.7× median
59025Normal range

Fetal non-stress test

$97K

3,274 claims · 0.4%

Your Cost: $29.72/claim|Median: $26.45
1.1× median
90670Normal range

$97K

12K claims · 0.4%

Your Cost: $8.09/claim|Median: $5.94
1.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$91K

2,691 claims · 0.4%

Your Cost: $33.97/claim|Median: $33.72
1.0× median
99188Top 25%

$87K

4,117 claims · 0.4%

Your Cost: $21.10/claim|Median: $12.80
1.6× median
90697Top 25%

$83K

3,018 claims · 0.4%

Your Cost: $27.35/claim|Median: $7.24
3.8× median
76830Top 10%

Ultrasound, transvaginal

$79K

705 claims · 0.4%

Your Cost: $111.44/claim|Median: $57.47
1.9× median
92587Top 25%

$71K

1,858 claims · 0.3%

Your Cost: $38.25/claim|Median: $19.24
2.0× median
90680Normal range

$66K

7,576 claims · 0.3%

Your Cost: $8.77/claim|Median: $5.58
1.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$66K

1,145 claims · 0.3%

Your Cost: $57.91/claim|Median: $36.79
1.6× median
87430Top 25%

$61K

3,840 claims · 0.3%

Your Cost: $15.89/claim|Median: $9.41
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$46K

638 claims · 0.2%

Your Cost: $71.87/claim|Median: $47.65
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$44K

1,539 claims · 0.2%

Your Cost: $28.81/claim|Median: $23.99
1.2× median
92551Top 5%

Screening audiometry, pure tone, air only

$40K

931 claims · 0.2%

Your Cost: $43.27/claim|Median: $6.61
6.5× median
90677Normal range

$38K

3,692 claims · 0.2%

Your Cost: $10.33/claim|Median: $12.96
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$31K

1,856 claims · 0.1%

Your Cost: $16.69/claim|Median: $36.70
0.5× median
90633Normal range

$29K

3,480 claims · 0.1%

Your Cost: $8.25/claim|Median: $3.56
2.3× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$28K

1,782 claims · 0.1%

Your Cost: $15.97/claim|Median: $11.48
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$28K

326 claims · 0.1%

Your Cost: $85.97/claim|Median: $74.78
1.1× median
90710Top 10%

MMRV vaccine

$25K

816 claims · 0.1%

Your Cost: $30.89/claim|Median: $7.00
4.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$20K

1,140 claims · 0.1%

Your Cost: $17.14/claim|Median: $14.00
1.2× median
90744Normal range

$19K

2,467 claims · 0.1%

Your Cost: $7.51/claim|Median: $5.00
1.5× median
90656Normal range

$16K

1,571 claims · 0.1%

Your Cost: $10.33/claim|Median: $8.67
1.2× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$15K

360 claims · 0.1%

Your Cost: $41.62/claim|Median: $30.04
1.4× median
99203Top 25%

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

$15K

166 claims · 0.1%

Your Cost: $89.06/claim|Median: $57.85
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$14K

106 claims · 0.1%

Your Cost: $134.76/claim|Median: $111.09
1.2× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$14K

264 claims · 0.1%

Your Cost: $52.58/claim|Median: $39.63
1.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$13K

866 claims · 0.1%

Your Cost: $14.71/claim|Median: $9.79
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$11K

148 claims · 0.1%

Your Cost: $77.09/claim|Median: $62.48
1.2× median
95251Normal range

$10K

494 claims · 0.0%

Your Cost: $20.26/claim|Median: $18.02
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$10K

57 claims · 0.0%

Your Cost: $169.68/claim|Median: $74.09
2.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$9K

163 claims · 0.0%

Your Cost: $53.94/claim|Median: $37.22
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$8K

175 claims · 0.0%

Your Cost: $46.22/claim|Median: $72.71
0.6× median
90471Top 25%

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

$7K

450 claims · 0.0%

Your Cost: $15.75/claim|Median: $9.80
1.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$7K

1,810 claims · 0.0%

Your Cost: $3.71/claim|Median: $5.50
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$6K

163 claims · 0.0%

Your Cost: $39.88/claim|Median: $43.85
0.9× median
90651Normal range

HPV vaccine, 9-valent

$6K

806 claims · 0.0%

Your Cost: $7.64/claim|Median: $8.93
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$6K

112 claims · 0.0%

Your Cost: $50.60/claim|Median: $51.25
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$6K

68 claims · 0.0%

Your Cost: $83.15/claim|Median: $73.46
1.1× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

← All providersAll providers in Missouri →How we detect fraud →