MERCYONE CENTRAL IOWA URGENT CARE
NPI: 1790422095
· DES MOINES, IA 50315
· 261Q00000X
$1.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
640 |
$22K |
| 2023 |
14,991 |
$689K |
| 2024 |
9,998 |
$424K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
|
8,595 |
8,283 |
$488K |
| 99204 |
|
2,506 |
2,389 |
$207K |
| 99213 |
|
5,755 |
5,495 |
$191K |
| 99214 |
|
2,636 |
2,498 |
$133K |
| 87811 |
|
1,268 |
1,218 |
$41K |
| 87651 |
|
1,015 |
961 |
$35K |
| 87804 |
|
2,008 |
1,031 |
$24K |
| 87880 |
|
909 |
862 |
$11K |
| 87635 |
|
73 |
64 |
$3K |
| 81003 |
|
567 |
533 |
$1K |
| 96372 |
|
130 |
127 |
$531.52 |
| 99000 |
|
94 |
90 |
$146.83 |
| J1885 |
Ketorolac tromethamine inj |
30 |
26 |
$129.47 |
| 87807 |
|
18 |
15 |
$94.94 |
| 81025 |
|
12 |
12 |
$94.04 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$14.27 |