Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY PHYSICIAN ASSOCIATES INC

NPI: 1427404953 · CENTRAL CITY, IA 52214 · Family Medicine Physician · NPI assigned 05/13/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHARLES, TIMOTHY controls 12+ related entities in our dataset. Read more

$48K
Total Medicaid Paid
1,608
Total Claims
1,413
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT AND CEO)
NPI Enumeration Date05/13/2016

Related Entities

Other providers sharing the same authorized official: CHARLES, TIMOTHY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 696 $20K
2019 622 $19K
2020 290 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,186 1,031 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 239 213 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 44 41 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 12 $918.60
90686 39 39 $605.70
90460 Immunization administration through 18 years of age via any route, first or only component 14 13 $273.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 22 $121.44
36415 Collection of venous blood by venipuncture 47 42 $83.39