Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY CLINICS, INC

NPI: 1073853982 · DES MOINES, IA 50314 · Developmental - Behavioral Pediatrics Physician · NPI assigned 03/01/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WHIPPLE, BRADLEY controls 20+ related entities in our dataset. Read more

$792K
Total Medicaid Paid
18,080
Total Claims
14,477
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHIPPLE, BRADLEY (CHIEF OPERATING OFFICER)
Parent OrganizationMERCY CLINICS, INC
NPI Enumeration Date03/01/2013

Related Entities

Other providers sharing the same authorized official: WHIPPLE, BRADLEY

ProviderCityStateTotal Paid
MERCY CLINICS INC DES MOINES IA $10.69M
MERCY CLINICS INC PLEASANT HILL IA $3.71M
MERCY CLINICS, INC. CLIVE IA $2.91M
MERCY CLINICS, INC. INDIANOLA IA $2.80M
MERCY CLINICS, INC. DES MOINES IA $2.77M
MERCY CLINICS, INC DES MOINES IA $2.51M
MERCY CLINICS, INC WEST DES MOINES IA $2.43M
MERCY CLINICS, INC. DES MOINES IA $2.36M
MERCY CLINICS, INC. DES MOINES IA $2.05M
MERCY CLINICS INC CLIVE IA $1.68M
MERCY CLINICS, INC ANKENY IA $1.48M
MERCY CLINICS, INC JOHNSTON IA $1.47M
MERCY CLINICS, INC DES MOINES IA $1.17M
MERCY CLINICS, INC DES MOINES IA $821K
MERCY CLINICS, INC WAUKEE IA $742K
MERCY CLINICS, INC DES MOINES IA $631K
MERCY CLINICS, INC DES MOINES IA $563K
MERCY CLINICS, INC DES MOINES IA $533K
MERCY CLINICS, INC CARLISLE IA $480K
MERCY CLINICS, INC WEST DES MOINES INES IA $452K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,394 $183K
2019 4,982 $173K
2020 3,383 $137K
2021 1,938 $67K
2022 800 $57K
2023 874 $86K
2024 709 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,961 4,696 $191K
99232 Subsequent hospital care, per day, moderate complexity 3,745 1,579 $130K
95720 223 175 $124K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,896 2,758 $95K
99205 Prolong outpt/office vis 543 525 $47K
99239 Hospital discharge day management, more than 30 minutes 734 668 $33K
Q3014 Telehealth originating site facility fee 1,545 1,435 $33K
95819 543 520 $27K
99222 Initial hospital care, per day, moderate complexity 293 269 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 851 398 $24K
99233 Prolong inpt eval add15 m 442 288 $16K
90792 Psychiatric diagnostic evaluation with medical services 173 161 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 344 332 $9K
99223 Prolong inpt eval add15 m 98 83 $8K
99215 Prolong outpt/office vis 172 139 $7K
96127 460 394 $3K
99417 Prolong home eval add 15m 30 30 $809.01
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $721.08
99238 Hospital discharge day management, 30 minutes or less 12 12 $627.40