North Iowa Mercy Clinics
North Iowa Mercy Clinics was paid $53K by Medicaid between Jan 2018 and Oct 2022, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 62% of everything it billed.
MASON CITY, IA 50401
Next to other Nephrology Physician providers in Iowa
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 384 | $15K | |
| 2019 | 436 | $13K | |
| 2020 | 552 | $16K | |
| 2021 | 298 | $5K | |
| 2022 | 187 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 62% | 777 | 728 | $33K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 561 | 131 | $12K |
| 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 | 9.4% | 319 | 306 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.6% | 33 | 29 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 148 | 143 | $1K |
| 90961 | 2.0% | 19 | 18 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Services-Iowa Corp | Mason City, IA | $45.69M |
| North Iowa Mercy Clinics | Mason City, IA | $3.86M |
| North Iowa Mercy Clinics | Mason City, IA | $2.73M |
| North Iowa Mercy Clinics | Mason City, IA | $2.40M |
| North Iowa Mercy Clinics | Mason City, IA | $785K |
| North Iowa Mercy Clinics | Clear Lake, IA | $714K |
| North Iowa Mercy Clinics | Mason City, IA | $655K |
| North Iowa Mercy Clinics | Mason City, IA | $520K |
| North Iowa Mercy Clinics | Forest City, IA | $475K |
| North Iowa Mercy Clinics | Mason City, IA | $469K |
| North Iowa Mercy Clinics | Mason City, IA | $446K |
| Mercy Health Services-Iowa Corp. | Buffalo Center, IA | $382K |
| North Iowa Mercy Clinics | Clear Lake, IA | $231K |
| North Iowa Mercy Clinics | Mason City, IA | $225K |
| North Iowa Mercy Clinics | Rockford, IA | $188K |
| North Iowa Mercy Clinics | Mason City, IA | $155K |
| North Iowa Mercy Clinics | Mason City, IA | $150K |
| North Iowa Mercy Clinics | Lake Mills, IA | $132K |
| North Iowa Mercy Clinics | Mason City, IA | $124K |
| North Iowa Mercy Clinics | Mason City, IA | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.