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

Mercy Health Services-Iowa Corp

Mercy Health Services-Iowa Corp was paid $45.69M by Medicaid between Jan 2018 and Dec 2024, across 201 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 66% of everything it billed.

33Billing provider infoMERCY HEALTH SERVICES-IOWA CORP
MASON CITY, IA 50401
33aNPI1467537886assigned 10/25/2006
28Total paid$45.69M
24GClaims687,799
24DCodes billed201
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Iowa

Rank by total paid#2 of 29
Median peer was paid$6.37M
This provider vs. median7.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TRAMMEL, MARK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018105,971$5.97M
2019107,779$6.51M
202090,962$5.54M
2021132,514$8.19M
2022117,150$8.77M
202384,181$6.75M
2024incomplete49,242$3.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 66% 311,757 273,010 $30.19M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.6% 18,983 17,642 $3.95M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.7% 21,687 20,424 $3.08M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.0% 3,106 2,824 $906K
D7140 Extraction, erupted tooth or exposed root 2.0% 527 203 $899K
D2930 Prefabricated stainless steel crown - primary tooth 1.8% 1,521 347 $802K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 15,725 15,063 $702K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 1.3% 309 247 $584K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.1% 7,687 2,254 $489K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 4,398 4,045 $481K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.0% 907 287 $460K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,507 904 $253K
189 more codes
90834 Psychotherapy session, about 45 minutes <1% 2,142 $224K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 5,030 $220K
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% 3,858 $168K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 6,615 $138K
71045 Radiologic examination, chest; single view <1% 2,562 $125K
96361 Intravenous infusion, hydration; each additional hour <1% 2,658 $119K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 395 $116K
D1351 Sealant - per tooth <1% 216 $116K
90472 Immunization administration, each additional vaccine (list separately) <1% 11,541 $108K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 10,286 $96K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,242 $95K
59025 Fetal non-stress test <1% 876 $95K
41899 Unlisted procedure, dentoalveolar structures <1% 178 $94K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,690 $91K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,422 $90K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,012 $86K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,956 $79K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,129 $77K
71046 Radiologic examination, chest; 2 views <1% 1,143 $54K
90473 <1% 1,233 $51K
90686 <1% 5,841 $44K
36415 Collection of venous blood by venipuncture <1% 48,449 $42K
96375 Therapeutic injection; each additional sequential IV push <1% 1,275 $42K
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% 3,067 $38K
93296 <1% 2,615 $37K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 2,034 $32K
77067 Screening mammography, bilateral, including computer-aided detection <1% 280 $22K
90791 Psychiatric diagnostic evaluation <1% 140 $21K
G0379 Direct admission of patient for hospital observation care <1% 341 $20K
90670 <1% 3,186 $20K
70450 Computed tomography, head or brain; without contrast material <1% 122 $20K
95117 <1% 369 $16K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 422 $15K
11721 <1% 1,419 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 84 $14K
31575 <1% 102 $13K
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs <1% 798 $13K
97535 Self-care/home management training, each 15 minutes <1% 769 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 82 $12K
87428 <1% 332 $11K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 49 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 740 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 30 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 187 $8K
87081 <1% 12,018 $8K
76801 <1% 77 $7K
84443 Thyroid stimulating hormone (TSH) <1% 1,174 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,977 $7K
80053 Comprehensive metabolic panel <1% 13,515 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 207 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29,570 $7K
20610 <1% 46 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,509 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 396 $6K
97597 <1% 60 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 59 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,600 $5K
0012A <1% 170 $5K
90837 Psychotherapy session, about an hour <1% 32 $4K
80055 <1% 725 $4K
0011A <1% 162 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 148 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 20,602 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 107 $3K
90651 <1% 96 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 8,436 $2K
94060 <1% 13 $2K
83655 <1% 448 $2K
90734 <1% 101 $2K
90847 Family psychotherapy with the patient present, 50 minutes <1% 18 $2K
80061 Lipid panel <1% 155 $2K
93297 <1% 136 $2K
81001 <1% 5,302 $2K
86140 <1% 4,185 $2K
96127 <1% 2,648 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 107 $1K
83605 <1% 1,119 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 8,593 $1K
77336 <1% 20 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 7,694 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 14 $1K
73630 <1% 209 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 12 $1K
83690 <1% 1,512 $1K
90677 <1% 324 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,584 $1K
G0378 Hospital observation service, per hour <1% 553 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 38 $991.79
85027 <1% 1,208 $908.21
86780 <1% 67 $830.07
84439 <1% 222 $826.06
90832 Psychotherapy session, about 30 minutes <1% 20 $694.27
0002A <1% 27 $692.30
69210 <1% 57 $639.25
Q3014 Telehealth originating site facility fee <1% 263 $487.26
80069 <1% 176 $444.10
83970 <1% 44 $440.81
84460 <1% 1,026 $419.87
84450 <1% 1,026 $410.11
82565 <1% 1,067 $399.04
84520 <1% 1,012 $305.75
85018 <1% 645 $257.68
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 28 $250.07
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 45 $236.52
85652 <1% 1,071 $215.60
87807 <1% 1,200 $208.44
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 30 $202.00
82570 <1% 97 $181.33
85610 <1% 3,201 $178.12
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 58 $167.87
82962 <1% 7,043 $144.56
84484 <1% 2,379 $144.20
82728 <1% 72 $143.49
84550 <1% 88 $128.46
82950 <1% 27 $124.44
51798 <1% 228 $116.72
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 16 $105.21
83735 <1% 1,048 $105.19
84156 <1% 71 $103.38
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 206 $97.04
90744 <1% 310 $85.91
82607 <1% 45 $85.55
0001A <1% 14 $85.38
73610 <1% 19 $83.58
82746 <1% 45 $83.40
83550 <1% 58 $82.41
86003 <1% 22 $72.74
87430 <1% 470 $64.20
83540 <1% 60 $61.05
84425 <1% 18 $60.51
81003 <1% 515 $52.21
82785 <1% 21 $51.96
Q0114 Fern test <1% 12 $40.92
81000 <1% 556 $37.90
82525 <1% 18 $35.37
90460 Immunization administration through 18 years of age via any route, first or only component <1% 63 $33.88
84630 <1% 17 $32.46
96160 <1% 129 $27.70
90656 <1% 14 $26.52
81025 <1% 133 $25.29
99000 <1% 12 $12.70
80305 <1% 13 $12.21
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 774 $11.98
J3010 Injection, fentanyl citrate, 0.1 mg <1% 367 $10.33
J2704 Injection, propofol, 10 mg <1% 359 $9.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 634 $8.66
83615 <1% 27 $7.22
85730 <1% 39 $5.88
82043 <1% 13 $5.68
96138 <1% 44 $3.38
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,472 $0.76
90698 <1% 2,661 $0.01
90648 0% 674 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 382 $0.00
92504 0% 15 $0.00
90633 0% 622 $0.00
85007 0% 30 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 56 $0.00
90681 0% 112 $0.00
80076 0% 25 $0.00
90715 0% 24 $0.00
95004 Percutaneous tests with allergenic extracts, immediate type reaction 0% 52 $0.00
90461 0% 25 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 19 $0.00
90707 0% 15 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 95 $0.00
90685 0% 44 $0.00
90710 0% 41 $0.00
94729 0% 13 $0.00
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 0% 34 $0.00
90723 0% 444 $0.00
90680 0% 966 $0.00
84703 0% 212 $0.00
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 0% 124 $0.00
95885 0% 59 $0.00
82077 0% 102 $0.00
90696 0% 29 $0.00
83880 0% 89 $0.00
96139 0% 80 $0.00
96376 0% 14 $0.00
80047 0% 37 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 0% 38 $0.00
90716 0% 14 $0.00
85379 0% 26 $0.00
99406 0% 13 $0.00
86308 0% 12 $0.00
83986 0% 12 $0.00
74019 0% 12 $0.00
80081 0% 14 $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 officialTRAMMEL, MARK (VP/FINANCE)
Same official

Other billing entities under TRAMMEL, MARK

Full network →
ProviderLocationPaid
North Iowa Mercy ClinicsMason City, IA$3.86M
North Iowa Mercy ClinicsMason City, IA$2.73M
North Iowa Mercy ClinicsMason City, IA$2.40M
North Iowa Mercy ClinicsMason City, IA$785K
North Iowa Mercy ClinicsClear Lake, IA$714K
North Iowa Mercy ClinicsMason City, IA$655K
North Iowa Mercy ClinicsMason City, IA$520K
North Iowa Mercy ClinicsForest City, IA$475K
North Iowa Mercy ClinicsMason City, IA$469K
North Iowa Mercy ClinicsMason City, IA$446K
Mercy Health Services-Iowa Corp.Buffalo Center, IA$382K
North Iowa Mercy ClinicsClear Lake, IA$231K
North Iowa Mercy ClinicsMason City, IA$225K
North Iowa Mercy ClinicsRockford, IA$188K
North Iowa Mercy ClinicsMason City, IA$155K
North Iowa Mercy ClinicsMason City, IA$150K
North Iowa Mercy ClinicsLake Mills, IA$132K
North Iowa Mercy ClinicsMason City, IA$124K
North Iowa Mercy ClinicsMason City, IA$77K
North Iowa Mercy ClinicsGreene, IA$56K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.