Medicaid Provider Spending

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

MERCY CARE MANAGEMENT, INC

NPI: 1467659268 · CEDAR RAPIDS, IA 52402 · Family Nurse Practitioner · NPI assigned 06/27/2007

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

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

$1.62M
Total Medicaid Paid
51,900
Total Claims
49,988
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT AND CEO)
NPI Enumeration Date06/27/2007

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 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 CENTRAL CITY IA $48K
MERCY PHYSICIAN ASSOCIATES, INC CEDAR RAPIDS IA $27K
MERCY CARE MANAGEMENT, INC HIAWATHA IA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,446 $211K
2019 6,739 $218K
2020 4,703 $159K
2021 14,950 $407K
2022 9,247 $303K
2023 5,653 $181K
2024 4,162 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,787 24,706 $888K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,803 3,661 $244K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,487 3,416 $144K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,894 5,713 $84K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,569 1,510 $77K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,548 1,449 $42K
0002A 1,008 1,006 $38K
0001A 1,057 1,041 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 539 523 $25K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,332 2,259 $16K
0004A 158 158 $6K
0072A 107 105 $4K
0071A 103 101 $4K
36415 Collection of venous blood by venipuncture 751 703 $2K
81001 433 417 $2K
0031A 54 53 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 50 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
0003A 27 27 $960.00
0012A 30 30 $823.31
71046 Radiologic examination, chest; 2 views 45 44 $663.94
0064A 13 13 $520.00
0054A 18 13 $520.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34 33 $336.05
0011A 20 20 $304.92
81002 193 188 $258.61
86308 40 38 $217.11
87807 12 12 $170.52
87210 12 12 $60.90
87220 12 12 $54.90
91307 233 222 $0.00
91306 13 13 $0.00
91305 54 44 $0.00
91301 58 56 $0.00
91303 54 53 $0.00
91300 2,338 2,275 $0.00