Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Cedar Rapids › NPI 1619422748
Physician

Mercy Physician Associates, INC

Mercy Physician Associates, INC was paid $27K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoMERCY PHYSICIAN ASSOCIATES, INC
CEDAR RAPIDS, IA 52404
33aNPI1619422748assigned 08/18/2016
28Total paid$27K
24GClaims701
24DCodes billed5
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Family Medicine Physician providers in Iowa

Rank by total paid#177 of 275
Median peer was paid$69K
This provider vs. median0.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018527$22K
2019174$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 476 433 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27% 109 103 $7K
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 10% 43 40 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.8% 38 32 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.9% 35 33 $495.82

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)
Same official

Other billing entities under CHARLES, TIMOTHY

Full network →
ProviderLocationPaid
Mercy Medical CenterCedar Rapids, IA$26.38M
Mercy Medical CenterCedar Rapids, IA$5.17M
Mercy Medical CenterCedar Rapids, IA$2.77M
Mercy Care Management, INCCedar Rapids, IA$2.19M
Mercy Care Management, INCCedar Rapids, IA$1.62M
Mercy Physician Associates, INCCedar Rapids, IA$357K
Mercy Medical CenterCedar Rapids, IA$222K
Mercy Physician Associates, INCCedar Rapids, IA$200K
Mercy Physican Associates INCCedar Rapids, IA$170K
Mercy Surgery Center LLCHiawatha, IA$68K
Mercy Physician Associates INCCentral City, IA$48K
Mercy Care Management, INCHiawatha, IA$12K

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