Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mercy Medical Center

Mercy Medical Center was paid $26.38M by Medicaid between Jan 2018 and Dec 2024, across 155 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.

33Billing provider infoMERCY MEDICAL CENTER
CEDAR RAPIDS, IA 52403
33aNPI1720029333assigned 06/08/2006
28Total paid$26.38M
24GClaims610,619
24DCodes billed155
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Iowa

Rank by total paid#5 of 29
Median peer was paid$6.37M
This provider vs. median4.1×

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$200K$400K$600K2018201920202021202220232024
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
2018108,924$3.68M
201994,536$3.30M
202069,745$2.49M
202192,944$4.41M
2022101,183$5.07M
202393,141$4.48M
2024incomplete50,146$2.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 32% 67,703 62,504 $8.31M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 29% 41,653 37,720 $7.75M
0202U Oncology (prostate), multianalyte, gene expression profiling 8.9% 6,892 6,661 $2.35M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.3% 16,257 14,776 $1.66M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.0% 5,226 4,503 $1.57M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3.0% 14,579 6,142 $784K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.4% 1,808 1,649 $642K
96361 Intravenous infusion, hydration; each additional hour 1.6% 12,002 10,650 $410K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 5,918 5,553 $402K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.2% 2,522 2,430 $316K
71046 Radiologic examination, chest; 2 views 1.2% 6,186 5,403 $314K
96375 Therapeutic injection; each additional sequential IV push <1% 6,473 5,897 $228K
143 more codes
90853 Group psychotherapy (other than of a multiple-family group) <1% 4,510 $174K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 337 $110K
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 <1% 1,259 $89K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 144 $88K
87081 <1% 13,467 $77K
80053 Comprehensive metabolic panel <1% 76,306 $75K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 1,420 $71K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,834 $59K
71045 Radiologic examination, chest; single view <1% 1,135 $57K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 421 $56K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 264 $54K
87581 <1% 1,424 $49K
70450 Computed tomography, head or brain; without contrast material <1% 515 $44K
36415 Collection of venous blood by venipuncture <1% 55,981 $44K
84443 Thyroid stimulating hormone (TSH) <1% 3,335 $42K
90791 Psychiatric diagnostic evaluation <1% 342 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 451 $37K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 321 $37K
80061 Lipid panel <1% 3,523 $37K
87631 <1% 283 $33K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 105 $28K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 929 $27K
83036 Hemoglobin; glycosylated (A1C) <1% 3,410 $25K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 167 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 430 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 75,537 $20K
86480 <1% 479 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 927 $19K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 635 $17K
29581 <1% 252 $17K
G0378 Hospital observation service, per hour <1% 897 $14K
62323 <1% 54 $13K
90834 Psychotherapy session, about 45 minutes <1% 187 $12K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 85 $10K
83655 <1% 879 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 329 $6K
97803 <1% 817 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 94 $4K
94060 <1% 27 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 189 $4K
90832 Psychotherapy session, about 30 minutes <1% 65 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 683 $4K
86738 <1% 193 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 19 $3K
86780 <1% 235 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 374 $3K
85027 <1% 635 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,969 $3K
80069 <1% 388 $2K
87340 <1% 216 $2K
59025 Fetal non-stress test <1% 16 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 18 $2K
87480 <1% 344 $2K
87660 <1% 344 $2K
87510 <1% 344 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 14 $2K
94726 <1% 30 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 7,996 $2K
80050 General health panel <1% 32 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 17 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,513 $1K
97597 <1% 25 $1K
87088 <1% 241 $1K
84439 <1% 161 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12 $943.72
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 27 $878.23
77063 Screening digital breast tomosynthesis, bilateral <1% 18 $851.36
82570 <1% 156 $671.80
83721 <1% 125 $654.85
80048 Basic metabolic panel (calcium, ionized) <1% 394 $629.57
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 9,547 $549.02
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,324 $377.87
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 19 $365.86
87486 <1% 19 $365.86
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,456 $355.64
82947 <1% 67 $321.02
J2704 Injection, propofol, 10 mg <1% 1,770 $316.70
73610 <1% 41 $306.84
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,208 $303.93
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,356 $258.80
83690 <1% 11,940 $257.65
85610 <1% 3,095 $253.86
81025 <1% 6,022 $248.91
81001 <1% 6,862 $247.66
72100 <1% 13 $243.28
84153 <1% 13 $231.66
73630 <1% 31 $230.13
84484 <1% 7,583 $212.87
85018 <1% 100 $191.16
83735 <1% 1,135 $176.17
84156 <1% 67 $166.78
83540 <1% 47 $163.76
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 22 $162.83
84466 <1% 28 $159.96
J7030 Infusion, normal saline solution , 1000 cc <1% 16,415 $158.75
84703 <1% 1,330 $148.40
82043 <1% 32 $142.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 757 $140.81
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,630 $140.44
87186 <1% 34 $134.09
82607 <1% 14 $131.58
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,806 $121.05
82728 <1% 16 $107.99
84702 <1% 46 $102.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 285 $95.75
86140 <1% 427 $75.30
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,739 $69.09
J0690 Injection, cefazolin sodium, 500 mg <1% 17 $42.32
81003 <1% 1,472 $37.11
85652 <1% 39 $34.06
82077 <1% 101 $33.48
85379 <1% 224 $29.58
J3490 Unclassified drugs <1% 1,181 $29.25
85007 <1% 48 $24.60
73562 <1% 18 $17.88
94010 <1% 13 $15.24
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,952 $13.26
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 58 $9.75
82977 <1% 46 $8.21
83880 <1% 268 $7.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 925 $6.35
85730 <1% 322 $6.19
A9270 Non-covered item or service <1% 42,873 $4.54
J3010 Injection, fentanyl citrate, 0.1 mg <1% 194 $4.48
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 825 $1.75
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 337 $0.53
94729 0% 42 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 43 $0.00
84145 0% 32 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 31 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 331 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 316 $0.00
87807 0% 556 $0.00
99156 0% 18 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 31 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 229 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 29 $0.00
96376 0% 49 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 37 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 64 $0.00
82550 0% 13 $0.00
83605 0% 45 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 20 $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)
Same official

Other billing entities under CHARLES, TIMOTHY

Full network →
ProviderLocationPaid
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 Physician Associates, INCCedar Rapids, IA$27K
Mercy Care Management, INCHiawatha, IA$12K

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