Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mercy East Ambulatory Services LLC (NPI 1134673148)

Mercy East Ambulatory Services LLC is a urgent care clinic/center provider located in Chesterfield, Missouri. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mercy East Ambulatory Services LLC
Address	1722 Clarkson Rd
City	Chesterfield
State	MO
ZIP	63017
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	August 8, 2016

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	24,210	$130	$3.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60,630	$50	$2.8M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	29,250	$40	$1.3M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	11,410	$20	$251.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,810	$50	$201.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6,470	$20	$142.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	13,980	$10	$111.9K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	9,600	$10	$76.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,740	$20	$41.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	610	$70	$41.8K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Mercy East Ambulatory Services LLC — 7 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	100	2,240	$80	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	255	3,170	230	$70	$128.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15	4,310	300	$60	$110.8K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	61	260	180	$60	$61.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	67	580	60	$110	$42K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	64	320	310	$30	$40.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6	180	210	$30	$34.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1	860	60	$70	$33.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	277	530	250	$20	$33.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	119	1,020	100	$40	$27K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicole Edwards	SC	Family Medicine Physician	$300.4K	$0
Fariha Qayum	MO	Family Medicine Physician	$33.1K	$78K
Tanner Boes	MO	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$102.4K	$350
Sandhya Kurian	MO	Family Medicine Physician	$101.4K	$0
Kurt Jaeger	MO	Family Medicine Physician	$37.3K	$62.8K
Scott Mcclure	MO	Emergency Medicine Physician	$91.4K	$0
Eric Mai	MO	Family Medicine Physician	$57K	$29.4K
Jessica Upchurch	MO	Internal Medicine Physician	$32.9K	$14.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Community Hospice, LLC	MO	Community Based Hospice Care Agency	$0	$4.9M
Mercy Healthcare, Inc.	MO	Home Health Agency	$0	$4.8M
St. Lukes Episcopal-presbyterian Hospital	MO	General Acute Care Hospital	$0	$3.5M
Precision Labs LLC	MO	Clinical Medical Laboratory	$1.1M	$9.6K
Katharine Mikulec	MO	Endocrinology, Diabetes & Metabolism Physician	$968K	$0
Monarch Fire Protection District	MO	Land Ambulance	$621.4K	$321.5K
Midamerica Surgery Center	MO	Ambulatory Surgical Clinic/Center	$910.6K	$0
George Hruza	MO	MOHS-Micrographic Surgery Physician	$713.1K	$0
Lawrence Samuels	MO	Dermatology Physician	$699.5K	$0
St. Luke's Surgery Center Of Chesterfield, LLC	MO	Ambulatory Surgical Clinic/Center	$666.6K	$0

Mercy East Ambulatory Services LLC — Billing Profile & Reimbursement Data

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Mercy East Ambulatory Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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