Clinic
Mercy Clinics, INC.
Mercy Clinics, INC. was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 25% of everything it billed.
33Billing provider infoMERCY CLINICS, INC.
DES MOINES, IA 50314
DES MOINES, IA 50314
33aNPI1457691941assigned 02/21/2013
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$2.36M
24GClaims58,174
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in Iowa
Rank by total paid#1 of 5
Median peer was paid$515K
This provider vs. median4.6×
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.
Entity ProliferationAuthorized official WHIPPLE, BRADLEY controls 20+ related entities in our dataset. Read more
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 | 3,544 | $84K | |
| 2019 | 12,393 | $476K | |
| 2020 | 9,709 | $458K | |
| 2021 | 9,935 | $416K | |
| 2022 | 9,166 | $366K | |
| 2023 | 7,987 | $344K | |
| 2024incomplete | 5,440 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 25% | 12,824 | 6,349 | $578K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 21% | 5,833 | 2,843 | $498K |
| 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 | 21% | 16,107 | 15,362 | $486K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 7,982 | 4,597 | $250K |
| 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 | 8.8% | 2,412 | 2,317 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 5,056 | 4,202 | $101K |
| 95251 | 3.6% | 1,800 | 1,741 | $85K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 714 | 680 | $48K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 509 | 491 | $42K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,763 | 2,628 | $19K |
| 95806 | <1% | 224 | 194 | $16K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 717 | 400 | $10K |
9 more codes
| 95800 | <1% | 127 | $5K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 27 | $5K |
| 80061 | Lipid panel | <1% | 461 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 356 | $827.22 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $683.32 |
| 82044 | <1% | 119 | $443.14 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 12 | $405.49 |
| 97597 | <1% | 83 | $272.52 |
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 officialWHIPPLE, BRADLEY (COO)
Parent organizationMERCY CLINICS, INC.
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinics INC | Des Moines, IA | $10.69M |
| 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 | $2.05M |
| 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.