Medicaid Provider Spending

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

MERCY CARE MANAGEMENT, INC

NPI: 1114451424 · HIAWATHA, IA 52233 · Family Medicine Physician · NPI assigned 04/13/2017

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

Authorized official CHARLES, TIMOTHY controls 12+ related entities in our dataset. Read more

$12K
Total Medicaid Paid
361
Total Claims
332
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT AND CEO)
NPI Enumeration Date04/13/2017

Related Entities

Other providers sharing the same authorized official: CHARLES, TIMOTHY

ProviderCityStateTotal Paid
MERCY MEDICAL CENTER CEDAR RAPIDS IA $26.38M
MERCY MEDICAL CENTER CEDAR RAPIDS IA $5.17M
MERCY MEDICAL CENTER CEDAR RAPIDS IA $2.77M
MERCY CARE MANAGEMENT, INC CEDAR RAPIDS IA $2.19M
MERCY CARE MANAGEMENT, INC CEDAR RAPIDS IA $1.62M
MERCY PHYSICIAN ASSOCIATES, INC CEDAR RAPIDS IA $357K
MERCY MEDICAL CENTER CEDAR RAPIDS IA $222K
MERCY PHYSICIAN ASSOCIATES, INC CEDAR RAPIDS IA $200K
MERCY PHYSICAN ASSOCIATES INC CEDAR RAPIDS IA $170K
MERCY SURGERY CENTER LLC HIAWATHA IA $68K
MERCY PHYSICIAN ASSOCIATES INC CENTRAL CITY IA $48K
MERCY PHYSICIAN ASSOCIATES, INC CEDAR RAPIDS IA $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161 $6K
2019 141 $4K
2020 59 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 287 263 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 59 55 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 14 $751.66