Clinic
Mercy Specialty Clinic
Mercy Specialty Clinic was paid $258K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoMERCY SPECIALTY CLINIC
CLINTON, IA 52732
CLINTON, IA 52732
33aNPI1386832764assigned 10/10/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$258K
24GClaims9,580
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Iowa
Rank by total paid#5 of 10
Median peer was paid$48K
This provider vs. median5.4×
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.
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 | 2,612 | $80K | |
| 2019 | 1,960 | $60K | |
| 2020 | 1,569 | $44K | |
| 2021 | 2,128 | $59K | |
| 2022 | 506 | $6K | |
| 2023 | 465 | $7K | |
| 2024incomplete | 340 | $3K |
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 | 49% | 4,159 | 3,432 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,410 | 1,932 | $50K |
| 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 | 11% | 381 | 360 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 273 | 242 | $10K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.8% | 912 | 391 | $10K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 138 | 90 | $7K |
| 20610 | 2.1% | 172 | 157 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 137 | 80 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 73 | 56 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 39 | 36 | $3K |
| 80305 | <1% | 176 | 95 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 89 | 46 | $2K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 111 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 131 | $725.96 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 29 | $593.11 |
| 97597 | <1% | 130 | $497.53 | |
| 99442 | <1% | 17 | $441.42 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $342.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 133 | $258.72 |
| 99406 | <1% | 21 | $37.60 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $31.42 |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 0% | 19 | $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 officialWOOD, MELLISSA (COO/CNO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Medical Center-Clinton, INC | Clinton, IA | $14.31M |
| Mercy Medical Center-Clinton, INC. | Clinton, IA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.