Medicaid Provider Spending

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

MERCY CARE MANAGEMENT, INC

NPI: 1306042890 · CEDAR RAPIDS, IA 52404 · Family Nurse Practitioner · NPI assigned 06/22/2007

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

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

$2.19M
Total Medicaid Paid
62,163
Total Claims
59,667
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT AND CEO)
NPI Enumeration Date06/22/2007

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 $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
MERCY CARE MANAGEMENT, INC HIAWATHA IA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,428 $283K
2019 8,723 $296K
2020 6,098 $202K
2021 11,766 $410K
2022 11,961 $433K
2023 8,380 $304K
2024 6,807 $264K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,756 36,164 $1.34M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,231 4,089 $284K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,317 4,242 $180K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,634 2,506 $129K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,104 1,976 $59K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,969 3,843 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 914 879 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,704 1,623 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 272 262 $28K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,702 2,659 $17K
99441 308 226 $3K
99201 83 78 $3K
36415 Collection of venous blood by venipuncture 521 498 $1K
81003 612 586 $965.53
71046 Radiologic examination, chest; 2 views 24 24 $243.25
91300 12 12 $0.00