Physician
Mercy Clinics, INC
Mercy Clinics, INC was paid $687K by Medicaid between Jan 2018 and Jan 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMERCY CLINICS, INC
URBANDALE, IA 50322
URBANDALE, IA 50322
33aNPI1063438638assigned 07/15/2006
33bProvider typeFamily Medicine Physician
28Total paid$687K
24GClaims31,180
24DCodes billed27
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#51 of 275
Median peer was paid$69K
This provider vs. median9.9×
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 | 5,374 | $104K | |
| 2019 | 5,556 | $119K | |
| 2020 | 4,145 | $103K | |
| 2021 | 5,112 | $112K | |
| 2022 | 5,389 | $117K | |
| 2023 | 5,402 | $124K | |
| 2024incomplete | 202 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 7,375 | 6,546 | $312K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 9,338 | 8,427 | $295K |
| 36415 | Collection of venous blood by venipuncture | 2.2% | 7,261 | 6,534 | $15K |
| 85027 | 1.8% | 2,264 | 2,104 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,188 | 1,118 | $10K |
| 90686 | 1.3% | 699 | 671 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 251 | 236 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 547 | 511 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 409 | 375 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | 41 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | 103 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 368 | 340 | $2K |
15 more codes
| 80061 | Lipid panel | <1% | 197 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 185 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 104 | $2K |
| 0001A | <1% | 38 | $1K | |
| 90707 | <1% | 13 | $935.34 | |
| 81001 | <1% | 251 | $830.03 | |
| 90746 | <1% | 15 | $809.16 | |
| 81003 | <1% | 271 | $639.31 | |
| 90715 | <1% | 13 | $430.91 | |
| 90734 | <1% | 12 | $246.57 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | $217.46 |
| 82044 | <1% | 39 | $176.10 | |
| 82570 | <1% | 26 | $132.30 | |
| 85018 | <1% | 30 | $76.75 | |
| 91300 | 0% | 81 | $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 officialPHILLIPS, SHARON (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinics, INC | Pleasant Hill, IA | $939K |
| Mercy Clinics, INC | Ankeny, IA | $366K |
| Mercy Clinics INC | Des Moines, IA | $216K |
| Mercy Clinics, INC | Clive, IA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.