Clinic
Mercy Physician Associates, INC
Mercy Physician Associates, INC was paid $3.94M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoMERCY PHYSICIAN ASSOCIATES, INC
TAMA, IA 52339
TAMA, IA 52339
33aNPI1154490779assigned 11/07/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.94M
24GClaims156,954
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Iowa
Rank by total paid#27 of 182
Median peer was paid$561K
This provider vs. median7.0×
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.
Entity ProliferationAuthorized official STANTON, ANNETTE controls 17+ related entities in our dataset. Read more
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 | 21,986 | $456K | |
| 2019 | 26,344 | $559K | |
| 2020 | 17,289 | $509K | |
| 2021 | 22,701 | $624K | |
| 2022 | 24,575 | $655K | |
| 2023 | 24,543 | $598K | |
| 2024incomplete | 19,516 | $536K |
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 | 99% | 60,254 | 40,193 | $3.91M |
| 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% | 26,780 | 20,852 | $9K |
| 99307 | <1% | 671 | 570 | $7K | |
| 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% | 11,077 | 9,562 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,100 | 9,872 | $453.65 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 904 | 788 | $390.40 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,096 | 988 | $360.50 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,755 | 6,808 | $165.42 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,452 | 2,247 | $16.70 |
| 81003 | <1% | 3,565 | 3,061 | $11.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,887 | 6,374 | $8.82 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 231 | 192 | $8.27 |
41 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,449 | $2.26 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 745 | $1.25 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,602 | $0.84 |
| 90698 | 0% | 877 | $0.00 | |
| 90474 | 0% | 387 | $0.00 | |
| 90686 | 0% | 2,132 | $0.00 | |
| 90651 | 0% | 265 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 53 | $0.00 |
| 90680 | 0% | 287 | $0.00 | |
| 96127 | 0% | 393 | $0.00 | |
| 90716 | 0% | 62 | $0.00 | |
| 82044 | 0% | 352 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 401 | $0.00 |
| 90677 | 0% | 226 | $0.00 | |
| 90619 | 0% | 142 | $0.00 | |
| 90656 | 0% | 349 | $0.00 | |
| 87807 | 0% | 417 | $0.00 | |
| 80050 | General health panel | 0% | 212 | $0.00 |
| 90744 | 0% | 78 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 123 | $0.00 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 35 | $0.00 |
| 90688 | 0% | 43 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 13 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,550 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,968 | $0.00 |
| 90670 | 0% | 651 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 3,059 | $0.00 |
| 90734 | 0% | 73 | $0.00 | |
| 82570 | 0% | 352 | $0.00 | |
| 90715 | 0% | 82 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 51 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 1,202 | $0.00 |
| 90707 | 0% | 59 | $0.00 | |
| 90633 | 0% | 156 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 27 | $0.00 |
| 81025 | 0% | 34 | $0.00 | |
| 90621 | 0% | 107 | $0.00 | |
| 90685 | 0% | 129 | $0.00 | |
| 90682 | 0% | 14 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 13 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $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 officialSTANTON, ANNETTE (SR DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mercy Physician Associates, INC | Marion, IA | $935K |
| Mercy Physician Associates, INC | Monticello, IA | $637K |
| Mercy Physician Associates | Cedar Rapids, IA | $417K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $381K |
| Mercy Physician Associates, INC | Marion, IA | $380K |
| Mercy Physician Associates, INC | North Liberty, IA | $353K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $333K |
| Mercy Physician Associates, INC | Hiawatha, IA | $329K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $246K |
| Mercy Physician Associates, INC | North Liberty, IA | $240K |
| Mercy Physician Associates, INC | Mt. Vernon, IA | $229K |
| Mercy Physician Associates, INC | Center Point, IA | $179K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $104K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $66K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $50K |
| Mercy Physician Associates, INC. | Cedar Rapids, IA | $4K |
| Mercy Physician Associates, INC | Cedar Rapids, IA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.