Physician
Mercy Medical Center-Centerville
Mercy Medical Center-Centerville was paid $2.61M by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoMERCY MEDICAL CENTER-CENTERVILLE
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1093360679assigned 08/09/2019
33bProvider typeInternal Medicine Physician
28Total paid$2.61M
24GClaims33,442
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Iowa
Rank by total paid#5 of 65
Median peer was paid$11K
This provider vs. median234×
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 | |
|---|---|---|---|
| 2020 | 5,157 | $198K | |
| 2021 | 8,930 | $658K | |
| 2022 | 8,003 | $691K | |
| 2023 | 7,830 | $718K | |
| 2024incomplete | 3,522 | $347K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 17,048 | 13,523 | $2.55M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 1,339 | 965 | $48K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 507 | 341 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,269 | 5,152 | $4K |
| 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 | <1% | 7,102 | 6,273 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 645 | 539 | $88.11 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 47 | 28 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 197 | 176 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 50 | 40 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 190 | 180 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 29 | 25 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 19 | 19 | $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 officialCLAPP, NICOLE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mercy Medical Center-Centerville | Centerville, IA | $3.24M |
| Mercy Medical Center-Centerville | Centerville, IA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.