North Iowa Mercy Clinics
North Iowa Mercy Clinics was paid $714K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
CLEAR LAKE, IA 50428
Next to other Pediatric Adolescent Medicine Physician providers in Iowa
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 | 2,705 | $95K | |
| 2019 | 3,027 | $111K | |
| 2020 | 2,668 | $105K | |
| 2021 | 2,606 | $96K | |
| 2022 | 2,552 | $93K | |
| 2023 | 2,934 | $110K | |
| 2024incomplete | 2,649 | $104K |
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 | 48% | 12,975 | 11,655 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,660 | 1,605 | $126K |
| 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 | 15% | 2,617 | 2,392 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 1,050 | 966 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 516 | 505 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 183 | 179 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 140 | 137 | $8K |
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 |
|---|---|---|
| Mercy Health Services-Iowa Corp | Mason City, IA | $45.69M |
| North Iowa Mercy Clinics | Mason City, IA | $3.86M |
| North Iowa Mercy Clinics | Mason City, IA | $2.73M |
| North Iowa Mercy Clinics | Mason City, IA | $2.40M |
| North Iowa Mercy Clinics | Mason City, IA | $785K |
| North Iowa Mercy Clinics | Mason City, IA | $655K |
| North Iowa Mercy Clinics | Mason City, IA | $520K |
| North Iowa Mercy Clinics | Forest City, IA | $475K |
| North Iowa Mercy Clinics | Mason City, IA | $469K |
| North Iowa Mercy Clinics | Mason City, IA | $446K |
| Mercy Health Services-Iowa Corp. | Buffalo Center, IA | $382K |
| North Iowa Mercy Clinics | Clear Lake, IA | $231K |
| North Iowa Mercy Clinics | Mason City, IA | $225K |
| North Iowa Mercy Clinics | Rockford, IA | $188K |
| North Iowa Mercy Clinics | Mason City, IA | $155K |
| North Iowa Mercy Clinics | Mason City, IA | $150K |
| North Iowa Mercy Clinics | Lake Mills, IA | $132K |
| North Iowa Mercy Clinics | Mason City, IA | $124K |
| North Iowa Mercy Clinics | Mason City, IA | $77K |
| North Iowa Mercy Clinics | Greene, IA | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.