Hospital
Mercy Medical Center-Newton
Mercy Medical Center-Newton was paid $3.61M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99283, emergency room visit (moderate) — 61% of everything it billed.
33Billing provider infoMERCY MEDICAL CENTER-NEWTON
NEWTON, IA 50208
NEWTON, IA 50208
33aNPI1003296179assigned 06/04/2015
33bProvider typeGeneral Acute Care Hospital
28Total paid$3.61M
24GClaims65,332
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Iowa
Rank by total paid#18 of 29
Median peer was paid$6.37M
This provider vs. median0.6×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,781 | $413K | |
| 2019 | 10,639 | $475K | |
| 2020 | 10,520 | $473K | |
| 2021 | 11,702 | $650K | |
| 2022 | 10,558 | $617K | |
| 2023 | 10,442 | $578K | |
| 2024incomplete | 4,690 | $400K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 61% | 15,172 | 13,681 | $2.20M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 2,028 | 1,773 | $660K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 9.8% | 2,849 | 2,484 | $355K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.9% | 486 | 452 | $142K |
| 71045 | Radiologic examination, chest; single view | 1.4% | 1,007 | 891 | $50K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.1% | 1,091 | 936 | $41K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 436 | 405 | $38K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 348 | 190 | $30K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 420 | 407 | $22K |
| 59025 | Fetal non-stress test | <1% | 169 | 103 | $22K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 190 | 147 | $8K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 31 | 29 | $8K |
39 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 55 | $7K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 276 | $7K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 49 | $5K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 186 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 16 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 34 | $891.41 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,423 | $527.40 |
| 87400 | <1% | 347 | $523.20 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 55 | $515.67 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,749 | $251.39 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,906 | $196.22 |
| Q3014 | Telehealth originating site facility fee | <1% | 13 | $159.99 |
| 81003 | <1% | 1,547 | $126.47 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,094 | $60.93 |
| 80053 | Comprehensive metabolic panel | <1% | 7,842 | $38.61 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $30.99 |
| 83735 | <1% | 234 | $24.54 | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 110 | $17.87 |
| 84703 | <1% | 429 | $8.83 | |
| 81001 | <1% | 55 | $3.72 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 139 | $0.00 |
| 80305 | 0% | 1,013 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 293 | $0.00 |
| 85610 | 0% | 395 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 3,741 | $0.00 |
| 83690 | 0% | 615 | $0.00 | |
| 83880 | 0% | 378 | $0.00 | |
| 82550 | 0% | 582 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 416 | $0.00 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 62 | $0.00 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 265 | $0.00 |
| 82553 | 0% | 552 | $0.00 | |
| 84484 | 0% | 1,011 | $0.00 | |
| 87088 | 0% | 30 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 16 | $0.00 |
| 85730 | 0% | 90 | $0.00 | |
| 85379 | 0% | 18 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKELLEY, CHAD (COO)