Mercy Physician Associates INC
Mercy Physician Associates INC was paid $48K by Medicaid between Jan 2018 and Sep 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
CENTRAL CITY, IA 52214
Next to other Family 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 | 696 | $20K | |
| 2019 | 622 | $19K | |
| 2020 | 290 | $9K |
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 | 73% | 1,186 | 1,031 | $35K |
| 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 | 20% | 239 | 213 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 44 | 41 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 17 | 12 | $918.60 |
| 90686 | 1.3% | 39 | 39 | $605.70 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | 13 | $273.61 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | 22 | $121.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | 42 | $83.39 |
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 | $2.19M |
| 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 | 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.