Medicaid Provider Spending

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

MERCY PHYSICIAN ASSOCIATES, INC

NPI: 1255886388 · CEDAR RAPIDS, IA 52404 · Internal Medicine Physician · NPI assigned 08/18/2016

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

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

$357K
Total Medicaid Paid
11,488
Total Claims
10,747
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT CEO)
Parent OrganizationMERCY PHYSICIAN ASSOCIATES, INC
NPI Enumeration Date08/18/2016

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 965 $34K
2019 1,453 $48K
2020 1,560 $51K
2021 3,179 $67K
2022 1,490 $45K
2023 1,946 $74K
2024 895 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,538 4,210 $195K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,296 2,117 $78K
96127 475 448 $35K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,422 1,387 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 104 96 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 350 335 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 79 77 $5K
36415 Collection of venous blood by venipuncture 1,746 1,636 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45 43 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 92 82 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $2K
90686 79 69 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 27 25 $728.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 41 38 $541.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 118 111 $519.36
90688 26 25 $437.45
90682 12 12 $346.02
90656 13 12 $107.63