Mercy Care Management, INC
Mercy Care Management, INC was paid $2.19M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
CEDAR RAPIDS, IA 52404
Next to other Family Nurse Practitioner providers in Iowa
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,807 | $264K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 37,756 | 36,164 | $1.34M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 4,231 | 4,089 | $284K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.2% | 4,317 | 4,242 | $180K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.9% | 2,634 | 2,506 | $129K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 2,104 | 1,976 | $59K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 3,969 | 3,843 | $57K |
| 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 | 2.2% | 914 | 879 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,704 | 1,623 | $44K |
| 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 | 1.3% | 272 | 262 | $28K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,702 | 2,659 | $17K |
| 99441 | <1% | 308 | 226 | $3K | |
| 99201 | <1% | 83 | 78 | $3K |
4 more codes
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.
Who's on the registration
| 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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.