Medicaid Provider Spending

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

MERCY MEDICAL CENTER

NPI: 1669617106 · CEDAR RAPIDS, IA 52403 · Nurse Practitioner · NPI assigned 12/12/2008

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

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

$5.17M
Total Medicaid Paid
196,010
Total Claims
172,245
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHARLES, TIMOTHY (PRESIDENT AND CEO)
Parent OrganizationMERCY MEDICAL CENTER
NPI Enumeration Date12/12/2008

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 $2.77M
MERCY CARE MANAGEMENT, INC CEDAR RAPIDS IA $2.19M
MERCY CARE MANAGEMENT, INC CEDAR RAPIDS IA $1.62M
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 23,431 $549K
2019 29,523 $685K
2020 23,164 $605K
2021 30,493 $841K
2022 32,846 $869K
2023 31,967 $909K
2024 24,586 $709K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,767 28,095 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,072 20,817 $851K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,734 38,623 $328K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,687 4,488 $309K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,533 4,074 $295K
90460 Immunization administration through 18 years of age via any route, first or only component 5,798 5,555 $257K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,254 3,178 $235K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,630 4,234 $209K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,294 2,201 $196K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,384 1,493 $190K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,840 1,783 $131K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,052 8,819 $106K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,126 1,368 $98K
90472 Immunization administration, each additional vaccine (list separately) 3,999 3,880 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,342 1,239 $81K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,010 993 $73K
99215 Prolong outpt/office vis 1,383 1,176 $70K
93000 3,166 2,874 $60K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,707 3,259 $55K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,030 948 $48K
92567 2,981 2,866 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 539 534 $45K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 182 170 $39K
92587 784 756 $35K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 400 380 $33K
31231 459 438 $29K
90461 2,223 2,111 $27K
99308 Subsequent nursing facility care, per day, straightforward 3,159 2,696 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 536 506 $15K
90686 5,734 5,632 $14K
92557 416 407 $14K
96127 215 194 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 341 330 $12K
95251 152 149 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 154 62 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 562 545 $8K
94726 949 898 $8K
81002 3,457 3,186 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 126 115 $6K
94060 415 395 $6K
36415 Collection of venous blood by venipuncture 2,122 2,025 $6K
94729 950 899 $5K
90792 Psychiatric diagnostic evaluation with medical services 41 40 $5K
99310 Prolong nursin fac eval 15m 513 444 $4K
99497 134 96 $4K
99232 Subsequent hospital care, per day, moderate complexity 113 63 $4K
31575 41 39 $3K
93296 265 250 $3K
94010 211 194 $3K
51798 269 242 $2K
0002A 58 58 $2K
0001A 56 56 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 186 139 $2K
0071A 54 52 $2K
99239 Hospital discharge day management, more than 30 minutes 31 26 $2K
93295 59 56 $2K
93018 128 125 $2K
90677 288 283 $1K
90480 47 47 $1K
93227 51 49 $1K
90474 193 189 $1K
99417 Prolong home eval add 15m 38 32 $930.27
99205 Prolong outpt/office vis 12 12 $895.55
99306 Prolong nursin fac eval 15m 51 38 $861.15
97161 12 12 $806.63
99217 13 13 $744.72
99238 Hospital discharge day management, 30 minutes or less 14 12 $741.84
99233 Prolong inpt eval add15 m 39 27 $731.80
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 245 225 $727.26
99222 Initial hospital care, per day, moderate complexity 13 12 $650.77
90656 482 478 $606.21
0072A 15 15 $600.00
90473 35 34 $570.84
69210 14 14 $536.18
92504 31 26 $451.81
87807 31 30 $451.17
90670 1,948 1,895 $374.91
93298 14 12 $266.29
99305 26 25 $229.64
92555 12 12 $146.08
90672 133 130 $138.92
99441 17 13 $132.72
93294 16 14 $125.64
99152 13 12 $96.95
90723 766 747 $70.72
93325 12 12 $29.64
90660 12 12 $28.91
90633 110 109 $0.00
91308 14 13 $0.00
91300 134 127 $0.00
90734 12 12 $0.00
90680 485 470 $0.00
90647 720 696 $0.00
91307 119 115 $0.00