Medicaid Provider Spending

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

MERCY HOSPITAL OF FRANCISCAN SISTERS INC

NPI: 1528009511 · OELWEIN, IA 50662 · Ambulance · NPI assigned 06/09/2006

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

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

$1.97M
Total Medicaid Paid
25,066
Total Claims
21,963
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUBER, TIMOTHY (CONTROLLER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: HUBER, TIMOTHY

ProviderCityStateTotal Paid
COVENANT MEDICAL CENTER INC WATERLOO IA $63.08M
COVENANT MEDICAL CENTER INC WATERLOO IA $22.00M
COVENANT MEDICAL CENTER INC WATERLOO IA $2.06M
COVENANT MEDICAL CENTER INC WATERLOO IA $618K
SARTORI MEMORIAL HOSPITAL INC CEDAR FALLS IA $439K
SARTORI MEMORIAL HOSPITAL INC CEDAR FALLS IA $313K
COVENANT MEDICAL CENTER INC ARLINGTON IA $225K
MERCY HOSPITAL OF FRANCISCAN SISTERS INC OELWEIN IA $139K
SARTORI MEMORIAL HOSPITAL INC CEDAR FALLS IA $117K
COVENANT MEDICAL CENTER INC WATERLOO IA $99K
MERCY HOSPITAL OF FRANCISCAN SISTERS INC OELWEIN IA $15K
COVENANT MEDICAL CENTER INC WATERLOO IA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,978 $210K
2019 2,542 $309K
2020 2,943 $317K
2021 5,236 $348K
2022 5,289 $367K
2023 3,795 $268K
2024 2,283 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,169 2,750 $774K
99284 Emergency department visit for the evaluation and management, high severity 1,447 1,208 $499K
80053 Comprehensive metabolic panel 4,126 3,594 $173K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 287 229 $104K
87081 3,066 2,992 $81K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,026 2,550 $63K
36415 Collection of venous blood by venipuncture 4,448 3,854 $51K
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 282 277 $35K
86140 998 880 $23K
84443 Thyroid stimulating hormone (TSH) 558 513 $23K
99282 Emergency department visit for the evaluation and management, low to moderate severity 146 137 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 183 145 $21K
96361 Intravenous infusion, hydration; each additional hour 110 78 $12K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 423 405 $11K
80061 Lipid panel 169 169 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 169 140 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 160 149 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 256 133 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 99 84 $5K
85027 264 243 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 52 40 $3K
84484 280 212 $3K
96375 Therapeutic injection; each additional sequential IV push 51 39 $3K
J7030 Infusion, normal saline solution , 1000 cc 176 135 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 73 72 $2K
87070 60 58 $2K
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 16 12 $2K
80305 64 56 $2K
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 206 203 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 151 132 $1K
71046 Radiologic examination, chest; 2 views 17 16 $1K
83690 56 42 $1K
82550 70 65 $973.69
87400 14 12 $938.42
83036 Hemoglobin; glycosylated (A1C) 13 13 $869.82
71045 Radiologic examination, chest; single view 25 24 $796.84
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $587.22
83605 18 15 $569.91
85610 77 67 $522.12
80048 Basic metabolic panel (calcium, ionized) 29 25 $439.56
81001 41 29 $371.29
81003 80 67 $365.44
83735 39 37 $326.26
94664 16 12 $298.70
85007 14 12 $244.14
85379 14 12 $209.24
J2405 Injection, ondansetron hydrochloride, per 1 mg 16 14 $126.01