Physician
Mercy Physician Associates, INC
Mercy Physician Associates, INC was paid $357K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoMERCY PHYSICIAN ASSOCIATES, INC
CEDAR RAPIDS, IA 52404
CEDAR RAPIDS, IA 52404
33aNPI1255886388assigned 08/18/2016
33bProvider typeInternal Medicine Physician
28Total paid$357K
24GClaims11,488
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Iowa
Rank by total paid#15 of 65
Median peer was paid$11K
This provider vs. median32×
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 CHARLES, TIMOTHY controls 12+ 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 | 965 | $34K | |
| 2019 | 1,453 | $48K | |
| 2020 | 1,560 | $51K | |
| 2021 | 3,179 | $67K | |
| 2022 | 1,490 | $45K | |
| 2023 | 1,946 | $74K | |
| 2024incomplete | 895 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 4,538 | 4,210 | $195K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,296 | 2,117 | $78K |
| 96127 | 9.7% | 475 | 448 | $35K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.7% | 1,422 | 1,387 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 104 | 96 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 350 | 335 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 79 | 77 | $5K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 1,746 | 1,636 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 45 | 43 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | 82 | $2K |
| 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 | <1% | 25 | 24 | $2K |
| 90686 | <1% | 79 | 69 | $1K |
6 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $728.16 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $541.19 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $519.36 |
| 90688 | <1% | 26 | $437.45 | |
| 90682 | <1% | 12 | $346.02 | |
| 90656 | <1% | 13 | $107.63 |
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 officialCHARLES, TIMOTHY (PRESIDENT CEO)
Parent organizationMERCY PHYSICIAN ASSOCIATES, INC
| Provider | Location | 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 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 |
| Mercy Care Management, INC | Hiawatha, IA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.