NP / PA
Mercy Care Management, INC
Mercy Care Management, INC was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoMERCY CARE MANAGEMENT, INC
CEDAR RAPIDS, IA 52402
CEDAR RAPIDS, IA 52402
33aNPI1467659268assigned 06/27/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$1.62M
24GClaims51,900
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Iowa
Rank by total paid#3 of 144
Median peer was paid$15K
This provider vs. median110×
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 CHARLES, TIMOTHY controls 12+ 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 | 6,446 | $211K | |
| 2019 | 6,739 | $218K | |
| 2020 | 4,703 | $159K | |
| 2021 | 14,950 | $407K | |
| 2022 | 9,247 | $303K | |
| 2023 | 5,653 | $181K | |
| 2024incomplete | 4,162 | $140K |
Box 24 · Service lines
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 | 55% | 25,787 | 24,706 | $888K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 3,803 | 3,661 | $244K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.9% | 3,487 | 3,416 | $144K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.2% | 5,894 | 5,713 | $84K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.8% | 1,569 | 1,510 | $77K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 1,548 | 1,449 | $42K |
| 0002A | 2.4% | 1,008 | 1,006 | $38K | |
| 0001A | 2.0% | 1,057 | 1,041 | $32K | |
| 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 | 1.6% | 539 | 523 | $25K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,332 | 2,259 | $16K |
| 0004A | <1% | 158 | 158 | $6K | |
| 0072A | <1% | 107 | 105 | $4K |
24 more codes
| 0071A | <1% | 103 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 751 | $2K |
| 81001 | <1% | 433 | $2K | |
| 0031A | <1% | 54 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 0003A | <1% | 27 | $960.00 | |
| 0012A | <1% | 30 | $823.31 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $663.94 |
| 0064A | <1% | 13 | $520.00 | |
| 0054A | <1% | 18 | $520.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 34 | $336.05 |
| 0011A | <1% | 20 | $304.92 | |
| 81002 | <1% | 193 | $258.61 | |
| 86308 | <1% | 40 | $217.11 | |
| 87807 | <1% | 12 | $170.52 | |
| 87210 | <1% | 12 | $60.90 | |
| 87220 | <1% | 12 | $54.90 | |
| 91307 | 0% | 233 | $0.00 | |
| 91306 | 0% | 13 | $0.00 | |
| 91305 | 0% | 54 | $0.00 | |
| 91301 | 0% | 58 | $0.00 | |
| 91303 | 0% | 54 | $0.00 | |
| 91300 | 0% | 2,338 | $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 officialCHARLES, TIMOTHY (PRESIDENT AND CEO)
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.