Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mercy Medical Center-Clinton, INC

Mercy Medical Center-Clinton, INC was paid $14.31M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is 99283, emergency room visit (moderate) — 26% of everything it billed.

33Billing provider infoMERCY MEDICAL CENTER-CLINTON, INC
CLINTON, IA 52732
33aNPI1427093962assigned 06/18/2006
28Total paid$14.31M
24GClaims248,125
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Iowa

Rank by total paid#10 of 29
Median peer was paid$6.37M
This provider vs. median2.2×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201830,633$1.40M
201934,092$1.74M
202034,905$1.66M
202138,915$2.40M
202244,145$2.95M
202339,068$2.49M
2024incomplete26,367$1.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 26% 22,084 20,605 $3.72M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19% 32,565 26,379 $2.66M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 10,538 9,707 $2.30M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 5,558 4,944 $1.63M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8.3% 9,248 8,526 $1.19M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.2% 11,932 11,250 $1.03M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.8% 3,840 3,710 $398K
96375 Therapeutic injection; each additional sequential IV push 1.6% 5,497 4,974 $229K
71045 Radiologic examination, chest; single view 1.4% 3,793 3,471 $198K
0202U Oncology (prostate), multianalyte, gene expression profiling 1.4% 670 649 $196K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.1% 1,307 508 $158K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 666 631 $122K
98 more codes
71046 Radiologic examination, chest; 2 views <1% 1,684 $78K
G0379 Direct admission of patient for hospital observation care <1% 685 $68K
20610 <1% 376 $67K
70450 Computed tomography, head or brain; without contrast material <1% 438 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 859 $38K
59025 Fetal non-stress test <1% 240 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 57 $22K
11721 <1% 994 $14K
87070 <1% 1,538 $14K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 513 $13K
97597 <1% 157 $11K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 323 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 18 $7K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 67 $4K
93017 <1% 66 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 55 $4K
73630 <1% 295 $2K
80053 Comprehensive metabolic panel <1% 18,714 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 180 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,980 $2K
36415 Collection of venous blood by venipuncture <1% 25,557 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 13 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,425 $2K
80061 Lipid panel <1% 124 $1K
G0008 Administration of influenza virus vaccine <1% 57 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 1,954 $943.12
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,052 $811.69
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 295 $717.04
81001 <1% 6,609 $649.44
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 42 $619.50
G0378 Hospital observation service, per hour <1% 748 $548.33
87086 Culture, bacterial; quantitative colony count, urine <1% 186 $446.00
84443 Thyroid stimulating hormone (TSH) <1% 432 $419.27
83036 Hemoglobin; glycosylated (A1C) <1% 154 $414.59
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 51 $373.50
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14 $336.08
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14 $336.08
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,437 $332.26
93242 <1% 14 $322.81
87631 <1% 695 $303.93
85027 <1% 1,195 $288.11
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) <1% 39 $277.11
97602 <1% 134 $137.40
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 189 $108.71
J8540 Dexamethasone, oral, 0.25 mg <1% 357 $89.21
83690 <1% 4,730 $76.47
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 624 $68.24
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 14 $61.48
83735 <1% 4,429 $56.47
84484 <1% 4,834 $55.67
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,227 $44.91
81025 <1% 679 $40.81
J7030 Infusion, normal saline solution , 1000 cc <1% 3,702 $35.88
85610 <1% 2,891 $34.90
J1630 Injection, haloperidol, up to 5 mg <1% 852 $30.11
85730 <1% 1,541 $24.99
83605 <1% 2,818 $23.66
81003 <1% 2,569 $16.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 154 $15.70
80076 <1% 528 $15.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 361 $13.44
J3360 Injection, diazepam, up to 5 mg <1% 681 $13.16
85379 <1% 107 $10.61
84703 <1% 410 $9.36
84100 <1% 154 $6.88
83615 <1% 32 $5.85
J8597 Antiemetic drug, oral, not otherwise specified <1% 242 $1.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 100 $0.00
82803 0% 80 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 411 $0.00
82150 0% 82 $0.00
82077 0% 52 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 488 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 66 $0.00
86141 0% 268 $0.00
83880 0% 520 $0.00
87040 0% 97 $0.00
J2704 Injection, propofol, 10 mg 0% 195 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 258 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 121 $0.00
73564 0% 12 $0.00
86738 0% 64 $0.00
87077 0% 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 15 $0.00
85651 0% 38 $0.00
83520 0% 38 $0.00
82553 0% 28 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 17 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 461 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 771 $0.00
85007 0% 230 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 158 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 34 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 130 $0.00
92504 0% 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 17 $0.00
80143 0% 33 $0.00
87186 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.

From NPPES

Who's on the registration

Authorized officialWOOD, MELLISSA (COO/CNO)
Same official

Other billing entities under WOOD, MELLISSA

Full network →
ProviderLocationPaid
Mercy Specialty ClinicClinton, IA$258K
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.