Mercy Clinics INC
Mercy Clinics INC was paid $10.69M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
DES MOINES, IA 50314
Next to other Pediatric Adolescent Medicine Physician 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 | 49,122 | $1.43M | |
| 2019 | 53,206 | $1.60M | |
| 2020 | 49,886 | $1.45M | |
| 2021 | 52,106 | $1.51M | |
| 2022 | 49,613 | $1.42M | |
| 2023 | 52,013 | $1.71M | |
| 2024incomplete | 38,566 | $1.57M |
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 | 29% | 80,371 | 75,422 | $3.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 19,521 | 19,305 | $1.48M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 16,786 | 16,138 | $1.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 12,381 | 12,276 | $942K |
| 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 | 7.4% | 13,500 | 12,899 | $789K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 6,061 | 5,994 | $520K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.6% | 22,683 | 22,127 | $489K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 35,267 | 34,666 | $442K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 8,598 | 8,487 | $400K |
| 87428 | 2.4% | 2,565 | 2,468 | $259K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 5,897 | 5,227 | $160K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 5,685 | 5,425 | $156K |
50 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 9,858 | $146K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 2,712 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,576 | $72K |
| 99381 | <1% | 809 | $57K | |
| 90651 | <1% | 2,603 | $56K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 627 | $44K |
| 90474 | <1% | 6,278 | $41K | |
| 90686 | <1% | 14,517 | $38K | |
| 87807 | <1% | 2,278 | $34K | |
| 90734 | <1% | 2,140 | $30K | |
| 90461 | <1% | 2,822 | $29K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,813 | $29K |
| 90710 | <1% | 1,309 | $27K | |
| 90670 | <1% | 11,989 | $25K | |
| 96127 | <1% | 601 | $13K | |
| 90696 | <1% | 1,175 | $10K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 595 | $10K |
| 83655 | <1% | 549 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 81 | $8K |
| 90633 | <1% | 5,986 | $8K | |
| 99188 | <1% | 604 | $7K | |
| 90677 | <1% | 1,508 | $6K | |
| 0071A | <1% | 141 | $6K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 153 | $5K |
| 90715 | <1% | 974 | $4K | |
| 0072A | <1% | 87 | $4K | |
| 85018 | <1% | 1,121 | $3K | |
| 90620 | <1% | 165 | $3K | |
| 90647 | <1% | 6,089 | $3K | |
| 81003 | <1% | 1,024 | $3K | |
| 90656 | <1% | 1,088 | $2K | |
| 0001A | <1% | 45 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 123 | $2K |
| 90716 | <1% | 864 | $1K | |
| 90700 | <1% | 719 | $1K | |
| 90648 | <1% | 4,990 | $755.73 | |
| 96161 | <1% | 109 | $735.30 | |
| 90707 | <1% | 794 | $712.34 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $416.96 |
| 90723 | <1% | 9,960 | $315.66 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $147.12 |
| 86140 | <1% | 24 | $128.10 | |
| 90685 | <1% | 280 | $127.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $41.75 |
| 99177 | <1% | 3,448 | $35.21 | |
| 90680 | <1% | 7,708 | $3.76 | |
| 91307 | <1% | 331 | $0.01 | |
| 90681 | 0% | 227 | $0.00 | |
| 91300 | 0% | 175 | $0.00 | |
| 91305 | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinics INC | Pleasant Hill, IA | $3.71M |
| Mercy Clinics, INC. | Clive, IA | $2.91M |
| Mercy Clinics, INC. | Indianola, IA | $2.80M |
| Mercy Clinics, INC. | Des Moines, IA | $2.77M |
| Mercy Clinics, INC | Des Moines, IA | $2.51M |
| Mercy Clinics, INC | West Des Moines, IA | $2.43M |
| Mercy Clinics, INC. | Des Moines, IA | $2.36M |
| Mercy Clinics, INC. | Des Moines, IA | $2.05M |
| Mercy Clinics INC | Clive, IA | $1.68M |
| Mercy Clinics, INC | Ankeny, IA | $1.48M |
| Mercy Clinics, INC | Johnston, IA | $1.47M |
| Mercy Clinics, INC | Des Moines, IA | $1.17M |
| Mercy Clinics, INC | Des Moines, IA | $821K |
| Mercy Clinics, INC | Des Moines, IA | $792K |
| Mercy Clinics, INC | Waukee, IA | $742K |
| Mercy Clinics, INC | Des Moines, IA | $631K |
| Mercy Clinics, INC | Des Moines, IA | $563K |
| Mercy Clinics, INC | Des Moines, IA | $533K |
| Mercy Clinics, INC | Carlisle, IA | $480K |
| Mercy Clinics, INC | West Des Moines Ines, IA | $452K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.