Mercy Medical Services
Mercy Medical Services was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
SOUTH SIOUX CITY, NE 68776
Next to other Medical Physician Assistant providers in Nebraska
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 | 2,622 | $110K | |
| 2019 | 3,061 | $130K | |
| 2020 | 3,005 | $116K | |
| 2021 | 4,866 | $186K | |
| 2022 | 5,934 | $238K | |
| 2023 | 5,125 | $190K | |
| 2024incomplete | 2,515 | $93K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 8,709 | 7,826 | $411K |
| 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 | 37% | 6,644 | 5,932 | $394K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,927 | 1,525 | $136K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 393 | 387 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 2,224 | 2,017 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 900 | 816 | $21K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 4,376 | 3,921 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 313 | 293 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 35 | 32 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 388 | 349 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 243 | 227 | $1K |
15 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 142 | $1K |
| 99460 | <1% | 14 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $986.73 |
| 87807 | <1% | 61 | $769.59 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $274.34 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 68 | $248.90 |
| 81003 | <1% | 148 | $171.37 | |
| 90686 | <1% | 105 | $153.09 | |
| 90473 | <1% | 12 | $105.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 31 | $83.72 |
| 90698 | <1% | 103 | $50.56 | |
| 90670 | <1% | 145 | $30.74 | |
| 90744 | <1% | 24 | $19.82 | |
| 90680 | 0% | 26 | $0.00 | |
| 90656 | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Marian Health Center-Smhc | Sioux City, IA | $15.53M |
| Mercy Medical Services | Sioux City, IA | $2.00M |
| Mercy Medical Services | Correctionville, IA | $625K |
| Mercy Medical Services | Kingsley, IA | $573K |
| Marian Health Center-Smhc | Sioux City, IA | $431K |
| Dunes Medical Laboratories | Dakota Dunes, SD | $417K |
| Mercy Medical Services | Sioux City, IA | $298K |
| Mercy Medical Services | Dakota Dunes, SD | $168K |
| Mercy Medical Services | Moville, IA | $79K |
| Mercy Medical Services | Dakota Dunes, SD | $13K |
| Mercy Medical Services | Sioux City, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.