NP / PA
Mercy Medical Center
Mercy Medical Center was paid $5.17M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoMERCY MEDICAL CENTER
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
33aNPI1669617106assigned 12/12/2008
33bProvider typeNurse Practitioner
28Total paid$5.17M
24GClaims196,010
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Iowa
Rank by total paid#3 of 76
Median peer was paid$25K
This provider vs. median211×
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 | 23,431 | $549K | |
| 2019 | 29,523 | $685K | |
| 2020 | 23,164 | $605K | |
| 2021 | 30,493 | $841K | |
| 2022 | 32,846 | $869K | |
| 2023 | 31,967 | $909K | |
| 2024incomplete | 24,586 | $709K |
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 | 20% | 30,767 | 28,095 | $1.02M |
| 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 | 16% | 23,072 | 20,817 | $851K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.3% | 43,734 | 38,623 | $328K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.0% | 4,687 | 4,488 | $309K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 4,533 | 4,074 | $295K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 5,798 | 5,555 | $257K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 3,254 | 3,178 | $235K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.0% | 8,630 | 4,234 | $209K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 2,294 | 2,201 | $196K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.7% | 3,384 | 1,493 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 1,840 | 1,783 | $131K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 9,052 | 8,819 | $106K |
82 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.9% | 3,126 | $98K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 3,999 | $83K |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 1,342 | $81K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 1,010 | $73K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 1,383 | $70K |
| 93000 | 1.2% | 3,166 | $60K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 3,707 | $55K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,030 | $48K |
| 92567 | <1% | 2,981 | $47K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 539 | $45K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 182 | $39K |
| 92587 | <1% | 784 | $35K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 400 | $33K |
| 31231 | <1% | 459 | $29K | |
| 90461 | <1% | 2,223 | $27K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,159 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 536 | $15K |
| 90686 | <1% | 5,734 | $14K | |
| 92557 | <1% | 416 | $14K | |
| 96127 | <1% | 215 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 341 | $12K |
| 95251 | <1% | 152 | $12K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 154 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 562 | $8K |
| 94726 | <1% | 949 | $8K | |
| 81002 | <1% | 3,457 | $8K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 126 | $6K |
| 94060 | <1% | 415 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,122 | $6K |
| 94729 | <1% | 950 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 41 | $5K |
| 99310 | Prolong nursin fac eval 15m | <1% | 513 | $4K |
| 99497 | <1% | 134 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 113 | $4K |
| 31575 | <1% | 41 | $3K | |
| 93296 | <1% | 265 | $3K | |
| 94010 | <1% | 211 | $3K | |
| 51798 | <1% | 269 | $2K | |
| 0002A | <1% | 58 | $2K | |
| 0001A | <1% | 56 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 186 | $2K |
| 0071A | <1% | 54 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 31 | $2K |
| 93295 | <1% | 59 | $2K | |
| 93018 | <1% | 128 | $2K | |
| 90677 | <1% | 288 | $1K | |
| 90480 | <1% | 47 | $1K | |
| 93227 | <1% | 51 | $1K | |
| 90474 | <1% | 193 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 38 | $930.27 |
| 99205 | Prolong outpt/office vis | <1% | 12 | $895.55 |
| 99306 | Prolong nursin fac eval 15m | <1% | 51 | $861.15 |
| 97161 | <1% | 12 | $806.63 | |
| 99217 | <1% | 13 | $744.72 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $741.84 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 39 | $731.80 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 245 | $727.26 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $650.77 |
| 90656 | <1% | 482 | $606.21 | |
| 0072A | <1% | 15 | $600.00 | |
| 90473 | <1% | 35 | $570.84 | |
| 69210 | <1% | 14 | $536.18 | |
| 92504 | <1% | 31 | $451.81 | |
| 87807 | <1% | 31 | $451.17 | |
| 90670 | <1% | 1,948 | $374.91 | |
| 93298 | <1% | 14 | $266.29 | |
| 99305 | <1% | 26 | $229.64 | |
| 92555 | <1% | 12 | $146.08 | |
| 90672 | <1% | 133 | $138.92 | |
| 99441 | <1% | 17 | $132.72 | |
| 93294 | <1% | 16 | $125.64 | |
| 99152 | <1% | 13 | $96.95 | |
| 90723 | <1% | 766 | $70.72 | |
| 93325 | <1% | 12 | $29.64 | |
| 90660 | <1% | 12 | $28.91 | |
| 90633 | 0% | 110 | $0.00 | |
| 91308 | 0% | 14 | $0.00 | |
| 91300 | 0% | 134 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90680 | 0% | 485 | $0.00 | |
| 90647 | 0% | 720 | $0.00 | |
| 91307 | 0% | 119 | $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)
Parent organizationMERCY MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.